Active NPI
Colton Durdunji, PT
- Physical Therapist
- Florence, AL
National Provider Identifier
1104443175
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH9928
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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 CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 64.97 of 100
- Quality
- 31.1
- Improvement activities
- 40
- Cost
- 75.11
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH9928 | AL | MD | Physical 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.