Deirdre De Vere Colasuono, PT, DPT, MS, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01283800 Issued in NJ

Practice address

11 Eagle Rock Avenue
East Hanover
East Hanover, NJ 07936

Phone

(973) 887-9000

Fax

(973) 887-3654

NPI assigned

Oct 16, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Deirdre De Vere Regan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

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.

• Sportscare Institute, Inc.

  • Physical Therapist
  • Toms River, NJ
  • NPI 1275501074
  NPD (past)

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

{
    "created_epoch": "1224115200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485302400000",
    "number": "1467604876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 EAGLE ROCK AVE",
            "address_2": "STE 201",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "079363167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 EAGLE ROCK AVENUE",
            "address_2": "EAST HANOVER",
            "city": "EAST HANOVER",
            "state": "NJ",
            "postal_code": "07936",
            "telephone_number": "973-887-9000",
            "fax_number": "973-887-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLASUONO",
        "first_name": "DEIRDRE",
        "middle_name": "DE VERE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, MS, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-10-16",
        "last_updated": "2017-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01283800",
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "NJ",
            "license": "25MT00141000",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DEIRDRE",
            "last_name": "REGAN",
            "middle_name": "DE VERE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Wendy M Chiang, MD
• W.Katie Chon
• Yousaf Latif Chowdhry, M.D.
• City Medical of New Jersey, PC (CityMD Urgent Care)
• Shelby Lynn Clare, DPT
• Consultcare Solutions LLC
• Vittoria Contuzzi
• Lynn Corrigan, D.O.
• Jenna Corsi, RDN
• Martin E Corwin, MD

• Physical Therapist in East Hanover, NJ
• Providers in East Hanover, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2017; 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.