Colleen Tode, PT, MSPT, CLT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT021771 Issued in PA

Practice address

470 John Young Way
Suite 200
Exton, PA 19341-2557

Phone

(610) 873-3076

Fax

(610) 873-3078

NPI assigned

Aug 2, 2012

Last updated

Mar 3, 2015By the provider in NPPES

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": "1343865600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425340800000",
    "number": "1467708966",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 JOHN YOUNG WAY",
            "address_2": "SUITE 200",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412557",
            "telephone_number": "610-873-3076",
            "fax_number": "610-873-3078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 JOHN YOUNG WAY",
            "address_2": "SUITE 200",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193412557",
            "telephone_number": "610-873-3076",
            "fax_number": "610-873-3078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODE",
        "first_name": "COLLEEN",
        "credential": "PT, MSPT, CLT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-02",
        "last_updated": "2015-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT021771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Exton, PA
• Providers in Exton, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2015; 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.