Paradigm Performance Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

PARADIGM PERFORMANCE THERAPY LLC

Practice address

1502 Castle St
Wilmington, NC 28401-5521

Phone

(978) 335-7640

NPI assigned

Oct 4, 2021

Organization subpart

No

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

Authorized official

Name

Colleen A Rollo, PT, DPT, GCSNPI 1164965422

Title

Founder

Phone

(978) 335-7640

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Colleen Rollo, PT, DPT GCS

  • Physical Therapist
  • Wilmington, NC
  • NPI 1164965422
  NPD Authorized official

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

{
    "created_epoch": "1633305600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633305600000",
    "number": "1346912888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7515 PETERS LN",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284118380",
            "telephone_number": "978-335-7640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 CASTLE ST",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284015521",
            "telephone_number": "978-335-7640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARADIGM PERFORMANCE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-04",
        "last_updated": "2021-10-04",
        "certification_date": "2021-09-24",
        "status": "A",
        "authorized_official_last_name": "ROLLO",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "978-335-7640",
        "authorized_official_credential": "PT, DPT, GCS"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "pteverywhere.com",
            "affiliation": "N",
            "endpointDescription": "Secured, HIPPA compliant documentation software for patients and clients to communicate directly with healthcare practitioner using secured website or app for mobile use.",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1502 Castle St",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284015521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Michael Alex Papagikos, M.D.
• Carolyn Sue Pape, LCSW
• Melissa Ashley Papio, D.M.D.
• Michael Jimmy Pappas, LCASA
• Sarah Jon Paquin, MS CCC-SLP
• Paragon Billing LLC
• Paragon Outpatient Rehabilitation Services, LLC
• Amanda Raya Pardon, MD
• Parent Like It Matters PLLC
• Hannah Parham, LCSWA

• Physical Therapy Clinic/Center in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Physical Therapy Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.