Individual provider Active NPI

Colleen Bader, OTR/L

  • Occupational Therapist
  • Asheville, NC
National Provider Identifier
1447017660
Registry record updated Oct 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
18326 Issued in NC
Practice address
2 Walden Ridge Dr Ste 20a
Asheville, NC 28803-8598
Phone
(828) 470-3526
Fax
(828) 470-3813
NPI assigned
Mar 4, 2024
Last updated
Oct 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 18326 NC Primary
Occupational Therapist 225X00000X OT24973 FL

Addresses

Primary practice location

2 Walden Ridge Dr Ste 20a
Asheville, NC 28803-8598

Mailing address

1308 Patton Ave
Asheville, NC 28806-2676
Phone (828) 348-1780

Other practice location 1

1308 Patton Ave Ste B
Asheville, NC 28806-2685
Phone (828) 348-1780

Other names 1

  • Colleen Kallop Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260605000722 NC Practitioner - Occupational Therapist in Private Practice 2769953264 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physio, Inc.Group PAC ID 1456508456, 13 clinicians

Practice addresses (Care Compare)

1308 Patton Ave
Suite B
Asheville, NC 28806-2685
Phone (828) 348-1780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
24973FLMDMental Health Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Physio, Inc. CurrentSince Apr 20, 2026 Accepting new patients

Locations

1308 Patton Ave
Ste B
Asheville, NC 28806
Phone (828) 348-1780

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791158400000",
    "number": "1447017660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1308 PATTON AVE",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288062676",
            "telephone_number": "828-348-1780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 WALDEN RIDGE DR STE 20A",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288038598",
            "telephone_number": "828-470-3526",
            "fax_number": "828-470-3813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1308 Patton Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Asheville",
            "state": "NC",
            "postal_code": "288062685",
            "country_code": "US",
            "telephone_number": "828-348-1780",
            "fax_number": "877-922-4820",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BADER",
        "first_name": "COLLEEN",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-03-04",
        "last_updated": "2026-10-05",
        "certification_date": "2026-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "18326",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT24973",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "KALLOP",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Asheville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; 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.