Individual provider Active NPI

John Colon, MSPT

  • Physical Therapist
  • Guaynabo, PR
National Provider Identifier
1386042018
Registry record updated Dec 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4502 Issued in PR
Practice address
100 Carr 165
Suite 303
Guaynabo, PR 00968-8047
Phone
(787) 277-0847
Fax
(787) 277-0942
NPI assigned
Dec 11, 2014
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 11, 2014

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 4502 PR Primary

Addresses

Primary practice location

100 Carr 165
Suite 303
Guaynabo, PR 00968-8047

Mailing address

Ac37 Calle 26
Villas de Loiza
Canovanas, PR 00729-4237

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150227002007 PR Practitioner - Physical Therapist in Private Practice 8527384064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Grupo Fisiatrico Hernandez de la Fuente CSPGroup PAC ID 6800967779, 2 clinicians

Practice addresses (Care Compare)

100 Carr
165 Suite 303
Guaynabo, PR 00968-8049
Phone (787) 277-0847

Centro Internacional de Mercadeo
100 Carr 165 Suite 303
Guaynabo, PR 00968-8049

Fragoso 4 Es
12 Villa Fontana
Carolina, PR 00983-0001
Phone (787) 276-7006

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Grupo Fisiatrico Hernandez de la Fuente CSP Physical Therapist CurrentSince Jan 5, 2015 Accepting new patients

Locations

100 Carr 165
Ste 303
Guaynabo, PR 00968
Phone (787) 277-0847

Organizations & group practices 1

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": "1418256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418256000000",
    "number": "1386042018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "AC37 CALLE 26",
            "address_2": "VILLAS DE LOIZA",
            "city": "CANOVANAS",
            "state": "PR",
            "postal_code": "007294237"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 CARR 165",
            "address_2": "SUITE 303",
            "city": "GUAYNABO",
            "state": "PR",
            "postal_code": "009688047",
            "telephone_number": "787-277-0847",
            "fax_number": "787-277-0942"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "JOHN",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-12-11",
        "last_updated": "2014-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PR",
            "license": "4502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guaynabo, PR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.