Maggie Anne Colicchio

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Practice address

300 Pell Ave Ste B
Rocky Mount, VA 24151-1182

Phone

(540) 484-1456

NPI assigned

Apr 14, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Professional Therapies of Roanoke, Inc.

  dba CORA Physical Therapy - Madison Heights

  • Rehabilitation Clinic/Center
  • Madison Heights, VA
  • NPI 1063282184
  NPD (past)
• Professional Therapies of Roanoke, Inc.

  dba CORA Physical Therapy - Blackburg Peds

  • Rehabilitation Clinic/Center
  • Roanoke, VA
  • NPI 1982692323
  NPD (past)

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

{
    "created_epoch": "1618358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618358400000",
    "number": "1043891815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PELL AVE STE B",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241511182",
            "telephone_number": "540-484-1456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PELL AVE STE B",
            "city": "ROCKY MOUNT",
            "state": "VA",
            "postal_code": "241511182",
            "telephone_number": "540-484-1456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLICCHIO",
        "first_name": "MAGGIE",
        "middle_name": "ANNE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-14",
        "last_updated": "2021-04-14",
        "certification_date": "2021-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claytor Clinic, Inc. (Claytor Memorial Clinic)
• Claytor Memorial Clinic
• Charles T. Clemens, D.D.S.
• John Larry Clements, D.P.M.
• Kayla Nichole Clendenin, SLP
• Commonwealth of Virginia State Board of Health (Franklin County Health Department)
• Kathleen Conway
• Core Concepts, LLC
• Cornerstone Complete Care (CoreCare Back Institute)
• Terri C Crews, LCSW

• Speech-Language Pathologist in Rocky Mount, VA
• Providers in Rocky Mount, VA by specialty
• Speech-Language Pathologist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2021; 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.