Individual provider Active NPI

Joshua Colinares

  • Physical Therapist
  • Elk Grove, CA
National Provider Identifier
1114689478
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
300848 Issued in CA
Practice address
9634 Elk Grove Florin Rd
Elk Grove, CA 95624-2226
Phone
(916) 685-8448
NPI assigned
Oct 13, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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 300848 CA Primary

Addresses

Primary practice location

9634 Elk Grove Florin Rd
Elk Grove, CA 95624-2226

Mailing address

7660 Masters St
Elk Grove, CA 95758-7245

Other practice location 1

2400 Del Paso Rd Ste 132
Sacramento, CA 95834-9629
Phone (916) 886-2940

Other practice location 2

7230 S Land Park Dr Ste 105
Sacramento, CA 95831-3657
Phone (916) 393-0497

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

LicenseStateTypeSpecialty
300848CAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vibrantcare Outpatient Rehabilitation of California Inc PastSince Oct 17, 2021 Accepting new patients
Vibrantcare Outpatient Rehabilitation of California Inc PastSince Oct 17, 2021 Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634083200000",
    "number": "1114689478",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7660 MASTERS ST",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9634 ELK GROVE FLORIN RD",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "956242226",
            "telephone_number": "916-685-8448"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2400 Del Paso Rd Ste 132",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958349629",
            "country_code": "US",
            "telephone_number": "916-886-2940",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7230 S Land Park Dr Ste 105",
            "address_purpose": "LOCATION",
            "city": "Sacramento",
            "state": "CA",
            "postal_code": "958313657",
            "country_code": "US",
            "telephone_number": "916-393-0497",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLINARES",
        "first_name": "JOSHUA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-13",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "300848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk Grove, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.