Darcie Collico, PT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

070010738 Issued in IL

Practice address

700 Weber Rd
O Fallon, IL 62269-2248

Phone

(618) 624-6000

Fax

(618) 726-4858

NPI assigned

May 16, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1400198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400198400000",
    "number": "1417368010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1034 S BRENTWOOD BLVD STE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631171203",
            "telephone_number": "314-644-1978",
            "fax_number": "314-647-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 WEBER RD",
            "city": "O FALLON",
            "state": "IL",
            "postal_code": "622692248",
            "telephone_number": "618-624-6000",
            "fax_number": "618-726-4858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLICO",
        "first_name": "DARCIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-16",
        "last_updated": "2014-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "IL",
            "license": "070010738",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teresa Cockrell
• Brandie Elise Colebrooke
• Cyara Lanette Coleman, ED.S, MA, BCBA, LBA
• Evelyn Coleman
• Jennifer Maria Coleman, LCSW
• Camryn Kristin Collins-Vaughn
• Demingo Collins
• Colonnade Senior Development, LLC
• Martin J Conaughty, HIS
• Luke McKenzie Conklin

• Geriatric Physical Therapist in O Fallon, IL
• Providers in O Fallon, IL by specialty
• Geriatric Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2014; 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.