Colavito Chiropractic PLLC.

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

X005219-1 Issued in NY

Legal business name

COLAVITO CHIROPRACTIC PLLC.

Practice address

453 Route 211 E
Middletown, NY 10940-2206

Phone

(845) 344-1211

Fax

(845) 344-4045

NPI assigned

Apr 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Thomas A. Colavito, D.C

Title

Owner

Phone

(845) 344-1211

Specialties & licenses 1

Addresses

Other identifiers 4

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1104948199",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "453 ROUTE 211 E",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402206",
            "telephone_number": "845-344-1211",
            "fax_number": "845-344-4045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "453 ROUTE 211 E",
            "city": "MIDDLETOWN",
            "state": "NY",
            "postal_code": "109402206",
            "telephone_number": "845-344-1211",
            "fax_number": "845-344-4045"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLAVITO CHIROPRACTIC PLLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-03",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "COLAVITO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "845-344-1211",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "NY",
            "license": "X005219-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WORKERS COMPENSATION",
            "identifier": "C05219-3",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "X13Q31",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHI",
            "identifier": "0138853",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P2089416",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randolph Cohen, MD
• Stephanie Barbara Cohen, MD
• Marcia Vivienne Coker
• Vickie Jean Coker, DC
• Antonio Alvaras Colaco, PA-C
• Paul Nicholas Colavito, D.D.S
• Thomas Anthony Colavito, D.C.
• Andrew Cole, PTA
• Denise Collado
• Maureen Anne Colligan, LPCC

• Chiropractor in Middletown, NY
• Providers in Middletown, NY by specialty
• Chiropractor in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 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.