Individual provider Active NPI

Colleen Nicole Starkey, PT

  • Physical Therapist
  • Newark, DE
National Provider Identifier
1417996760
Registry record updated Aug 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
J1-0002016 Issued in DE
Practice address
744 Christiana Road
Suite 3
Newark, DE 19713-4236
Phone
(302) 368-4841
Fax
(302) 368-4843
NPI assigned
Jun 5, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2012

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 J1-0002016 DE Primary

Addresses

Primary practice location

744 Christiana Road
Suite 3
Newark, DE 19713-4236

Mailing address

2 W 10TH St
Marcus Hook, PA 19061-4513
Phone (610) 859-8850

Other identifiers 6

IdentifierTypeStateIssuer
000108723OtherDPCI
P00292590OtherDERAILROAD MEDICARE
1417996760MedicaidDE
214667OtherUNISON
3744468000OtherPERSONAL CHOICE
2123150OtherPAPA BS

Other names 1

  • Ms. Colleen Nicole Oconnor Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150129001922 PA Practitioner - Physical Therapist in Private Practice 4486660818 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Home Care Health Specialists LLCGroup PAC ID 3375774045, 34 clinicians

Practice addresses (Care Compare)

501 Plush Mill Rd
Wallingford, PA 19086-6040
Phone (855) 657-8723

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Physical Therapy Physical Therapist Past Accepting new patients
Dynamic Therapy Services LLC Physical Therapist Past Accepting new patients
Dynamic Therapy Services, LLC Physical Therapist Past Accepting new patients
Dynamic Therapy Services of Pennsylvania LLC Physical Therapist Past Accepting new patients

Organizations & group practices 5

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": "1149465600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1344902400000",
    "number": "1417996760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 W 10TH ST",
            "city": "MARCUS HOOK",
            "state": "PA",
            "postal_code": "190614513",
            "telephone_number": "610-859-8850",
            "fax_number": "610-672-9936"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 CHRISTIANA ROAD",
            "address_2": "SUITE 3",
            "city": "NEWARK",
            "state": "DE",
            "postal_code": "197134236",
            "telephone_number": "302-368-4841",
            "fax_number": "302-368-4843"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STARKEY",
        "first_name": "COLLEEN",
        "middle_name": "NICOLE",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-05",
        "last_updated": "2012-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "DE",
            "license": "J1-0002016",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DPCI",
            "identifier": "000108723",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00292590",
            "state": "DE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417996760",
            "state": "DE"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNISON",
            "identifier": "214667",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PERSONAL CHOICE",
            "identifier": "3744468000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA BS",
            "identifier": "2123150",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "OCONNOR",
            "middle_name": "NICOLE",
            "prefix": "MS.",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Newark, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2012; 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.