Active NPI
Aaron Wayne Colson, MPT
- Physical Therapist
- Paducah, KY
National Provider Identifier
1396987244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004297
- Practice address
- 2725 James Sanders Blvd Ste a
Paducah, KY 42001-8405 - Phone
- (270) 554-5114
- NPI assigned
- Mar 24, 2009
- Last updated
- Jan 2, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 004297 | KY | Primary |
Addresses
Primary practice location
2725 James Sanders Blvd Ste a
Paducah, KY 42001-8405
Mailing address
2725 James Sanders Blvd Ste a
Paducah, KY 42001-8405
Phone (270) 554-5114
Other practice location 1
1601 Highway 121 Byp N Ste B
Murray, KY 42071-8759
Phone (270) 554-5114
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004297 | KY | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237852800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546387200000",
"number": "1396987244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2725 JAMES SANDERS BLVD STE A",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420018405",
"telephone_number": "270-554-5114"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2725 JAMES SANDERS BLVD STE A",
"city": "PADUCAH",
"state": "KY",
"postal_code": "420018405",
"telephone_number": "270-554-5114"
}
],
"practiceLocations": [
{
"address_1": "1601 Highway 121 Byp N Ste B",
"address_purpose": "LOCATION",
"city": "Murray",
"state": "KY",
"postal_code": "420718759",
"country_code": "US",
"telephone_number": "270-554-5114",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLSON",
"first_name": "AARON",
"middle_name": "WAYNE",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-24",
"last_updated": "2019-01-02",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "KY",
"license": "004297",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Paducah, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.