Joseph Colasurdo, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01922800 Issued in NJ

Practice address

266-272 Chestnut St
Newark, NJ 07105-6521

Phone

(973) 732-3850

NPI assigned

May 23, 2018

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Roanoke Therapeutic Services Inc

  • Pediatric Physical Therapist
  • Williamston, NC
  • NPI 1659440691
  NPD (past)

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

{
    "created_epoch": "1527033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594252800000",
    "number": "1477044667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1014",
            "city": "CLARK",
            "state": "NJ",
            "postal_code": "070661014",
            "telephone_number": "732-855-9751",
            "fax_number": "732-855-9755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "266-272 CHESTNUT ST",
            "city": "NEWARK",
            "state": "NJ",
            "postal_code": "071056521",
            "telephone_number": "973-732-3850"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2756 US Highway 64 E",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "NC",
            "postal_code": "279628903",
            "country_code": "US",
            "telephone_number": "252-791-1006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COLASURDO",
        "first_name": "JOSEPH",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-23",
        "last_updated": "2020-07-09",
        "certification_date": "2020-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01922800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT LICENSE-NJ",
            "identifier": "40QA01922800",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jared David Cohn, DO
• Jennifer Coira, MD
• Rafael Coira
• Duniel Coke
• Nina B Colabelli, MSN, CPNP-PC
• Donato Antonio Colavita, MD
• Alexia Cole
• Shawn Ishmael Cole, PTA
• Brittney Coleman
• Chanel A Coleman, AUD

• Physical Therapist in Newark, NJ
• Providers in Newark, 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 Jul 9, 2020; 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.