Active NPI
Colleen Plotcher, PTA
- Physical Therapy Assistant
- Philadelphia, PA
National Provider Identifier
1104600519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- TE1002677
- Practice address
- 2127 Rhawn St
Philadelphia, PA 19152-3216 - Phone
- (215) 742-8099
- Fax
- (215) 742-1871
- NPI assigned
- Aug 24, 2023
- Sex
- Female
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | TE1002677 | PA | Primary |
Addresses
Primary practice location
2127 Rhawn St
Philadelphia, PA 19152-3216
Mailing address
823 Glenn St
Phila, PA 19115-1311
Phone (267) 243-3445
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TE1002677 | PA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692835200000",
"number": "1104600519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "823 GLENN ST",
"city": "PHILA",
"state": "PA",
"postal_code": "191151311",
"telephone_number": "267-243-3445",
"fax_number": "215-742-1871"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2127 RHAWN ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191523216",
"telephone_number": "215-742-8099",
"fax_number": "215-742-1871"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLOTCHER",
"first_name": "COLLEEN",
"credential": "PTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-08-24",
"last_updated": "2023-08-24",
"certification_date": "2023-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PA",
"license": "TE1002677",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.