Individual provider Active NPI

Colton Durdunji, PT

  • Physical Therapist
  • Florence, AL
National Provider Identifier
1104443175
Registry record updated Aug 7, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH9928 Issued in AL
Practice address
2465 Mall Rd
Florence, AL 35630-2809
Phone
(256) 764-4242
NPI assigned
Jun 25, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH9928 AL Primary

Addresses

Primary practice location

2465 Mall Rd
Florence, AL 35630-2809

Mailing address

2465 Mall Rd
Florence, AL 35630-2809
Phone (256) 764-4242

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 192.168.1.1

Medicare participation

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

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
64.97 of 100Reported as group
Quality
31.1
Improvement activities
40
Cost
75.11

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PTH9928ALMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1593043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596758400000",
    "number": "1104443175",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2465 MALL RD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302809",
            "telephone_number": "256-764-4242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2465 MALL RD",
            "city": "FLORENCE",
            "state": "AL",
            "postal_code": "356302809",
            "telephone_number": "256-764-4242"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DURDUNJI",
        "first_name": "COLTON",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-25",
        "last_updated": "2020-08-07",
        "certification_date": "2020-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH9928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "192.168.1.1",
            "affiliation": "N",
            "endpointDescription": "IP Address",
            "address_1": "2465 Mall Rd",
            "city": "Florence",
            "state": "AL",
            "country_code": "US",
            "postal_code": "356302809",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Florence, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • 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.