Jose Roland Averion Colago

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

022952 Issued in NY

Practice address

400 Post Ave Ste 212
Westbury, NY 11590-2226

Phone

(516) 338-5182

NPI assigned

Sep 29, 2020

Sex

Male

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sports Physical Therapy Occupational Therapy and Rehabilitation ServicGroup PAC ID 0446140446, 529 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Sports Physical Therapy Occupational Therapy and Rehabilitation Servic

  • Hand Physical Therapist
  • East Meadow, NY
  • NPI 1770540593
  Medicare reassignment Care Compare group NPD
• Sports Physical Therapy Occupational Therapy and Rehabilitation Servic

  • Occupational Therapist
  • White Plains, NY
  • NPI 1629825591
  NPD
• Gramercy Park Physical Medicine and Rehabilitation PC

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
  • NPI 1548429152
  NPD (past)
• Mid-Island Physical Medicine and Rehabilitation, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Jericho, NY
  • NPI 1710146857
  NPD (past)

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

{
    "created_epoch": "1601337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1073120507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8610 55TH AVE",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113734339",
            "telephone_number": "917-412-5395"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 POST AVE STE 212",
            "city": "WESTBURY",
            "state": "NY",
            "postal_code": "115902226",
            "telephone_number": "516-338-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLAGO",
        "first_name": "JOSE ROLAND",
        "middle_name": "AVERION",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-29",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "022952",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shayna Coe
• Samantha Cogelja
• Caryn Cohen-Tarnoff, PH.D.
• Victoria Lynn Cohen, LCSW
• Deboah Joan Cohn, M.S./CCC/SLP
• Donna M Cole, O.T
• Justin L Cole, D.D.S.
• Gary S Collins
• Mollie Collins
• Brianne Colon

• Physical Therapist in Westbury, NY
• Providers in Westbury, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.