Brandi M. Colquitt, P.T.

Primary specialty

SpecialistTaxonomy code 174400000X

License

1170890 Issued in TX

Practice address

2903 Judson Rd
Longview, TX 75605-1803

Phone

(903) 663-6332

Fax

(903) 663-6347

NPI assigned

May 21, 2008

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)

Not enrolled

State licenses

Practice roles

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.

• A K Fitness Therapy Center

  • Specialist
  • Longview, TX
  • NPI 1639236698
  NPD (past)
• Ak Fitness Health Center Inc.

  • Durable Medical Equipment & Medical Supplies
  • Longview, TX
  • NPI 1306975412
  NPD (past)

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

{
    "created_epoch": "1211328000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211328000000",
    "number": "1093972630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2903 JUDSON RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756051803",
            "telephone_number": "903-663-6332",
            "fax_number": "903-663-6347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2903 JUDSON RD",
            "city": "LONGVIEW",
            "state": "TX",
            "postal_code": "756051803",
            "telephone_number": "903-663-6332",
            "fax_number": "903-663-6347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLQUITT",
        "first_name": "BRANDI",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-21",
        "last_updated": "2008-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": "1170890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paulette L Coleman
• Amy Lynn Collins, MS, LPC, LSSP
• Christina Collins, LCSW
• Julie Nicole Collins, BSN RN
• Colonial Village LV Property, LTD
• Community Perfusion Services LLC
• Community Wound Resource, LLC
• Completecare Comprehensive Healthcare Solutions, LP
• Concierge Compassionate Care LLC
• Kevin Eugene Conner, MD

• All providers in Longview, TX
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.