Jose Ismel Collado, PT, DPT, LMT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14775 Issued in CT

Practice address

250 Westport Ave
Norwalk, CT 06851-4158

Phone

(917) 515-0288

NPI assigned

May 24, 2017

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Mobility and Movement Therapy LLC

  • Physical Therapy Clinic/Center
  • Norwalk, CT
  • NPI 1528852092
  NPD Authorized official

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

{
    "created_epoch": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1053849828",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 WEDGEWOOD PL",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066061927",
            "telephone_number": "917-515-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "250 WESTPORT AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514158",
            "telephone_number": "917-515-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLADO",
        "first_name": "JOSE",
        "middle_name": "ISMEL",
        "credential": "PT, DPT, LMT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-05-24",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "CT",
            "license": "007864",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "14775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ellen Coghlan, MS, RDN
• Isabella Cohan
• Michael Cohen, PH.D.
• Shaira Cohen, APRN
• Collaborative Learning Services
• Alicia Collen Zeidan, APRN
• Virginia Anne Collier, M.D.
• Isabella Collins
• Laurie Collins, CNM
• Andrew Thomas Colucci, M.D.

• Physical Therapist in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.