Individual provider Active NPI

Caroline Timoney Colvin, DPT

  • Pediatric Physical Therapist
  • Cincinnati, OH
National Provider Identifier
1043219264
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
003516 Issued in KY
Practice address
3430 Burnet Ave # 4007
Cincinnati, OH 45229-2833
Phone
(859) 344-4769
Fax
(859) 344-4771
NPI assigned
Jul 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 003516 KY Primary
Pediatric Physical Therapist 2251P0200X

Addresses

Primary practice location

3430 Burnet Ave # 4007
Cincinnati, OH 45229-2833

Mailing address

3430 Burnet Ave # 4007
Cincinnati, OH 45229-2833

Other practice location 1

131 Boston Post Rd
East Lyme, CT 06333-1605
Phone (860) 739-4497

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007328CTMDClinical Social Worker
003516KYMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Shoreline Physical Therapy, LLC Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1043219264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3430 BURNET AVE # 4007",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452292833",
            "fax_number": "859-344-4771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3430 BURNET AVE # 4007",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452292833",
            "telephone_number": "859-344-4769",
            "fax_number": "859-344-4771"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "131 Boston Post Rd",
            "address_purpose": "LOCATION",
            "city": "East Lyme",
            "state": "CT",
            "postal_code": "063331605",
            "country_code": "US",
            "telephone_number": "860-739-4497",
            "fax_number": "860-739-7256",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLVIN",
        "first_name": "CAROLINE",
        "middle_name": "TIMONEY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "KY",
            "license": "003516",
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.