J. Rafael Colon, OTRL

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OT11408 Issued in FL

Practice address

120 NW 28TH St
Gainesville, FL 32607-2511

Phone

(352) 246-5384

Fax

(352) 376-0126

NPI assigned

Mar 9, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Bright Stars Therapy Inc

  • Pediatric Occupational Therapist
  • Gainesville, FL
  • NPI 1235261967

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1173398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1316079015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7554 SW 84TH DR",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326088489",
            "telephone_number": "352-871-1440",
            "fax_number": "352-376-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 NW 28TH ST",
            "city": "GAINESVILLE",
            "state": "FL",
            "postal_code": "326072511",
            "telephone_number": "352-246-5384",
            "fax_number": "352-376-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "J.",
        "middle_name": "RAFAEL",
        "name_prefix": "Mr.",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-09",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "FL",
            "license": "OT11408",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shelley Wells Collins, MD
• Veronica Collins
• William O Collins, MD
• Stanley Collis
• Heather Colon, FNP-C
• John D. Colon, M.D.
• Leo Colon, APRN
• Joseph Colorio
• Catherine Sim Coloson, RDMS, RDCS, RVT
• Celia Danielle Colson, DNP, APRN, PMHNP-BC

• Pediatric Occupational Therapist in Gainesville, FL
• Providers in Gainesville, FL by specialty
• Pediatric Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.