Cole Edwin Delaino, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA005219 Issued in GA

Practice address

1711 Martha Berry Blvd NW
Rome, GA 30165-1623

Phone

(706) 528-4207

Fax

(706) 528-4211

NPI assigned

Mar 1, 2024

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Performance Physical Therapy & Sports Medicine Inc

  • Physical Therapist
  • La Fayette, GA
  • NPI 1871738872
  NPD

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714694400000",
    "number": "1497512933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 MARTHA BERRY BLVD NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651623",
            "telephone_number": "706-528-4207",
            "fax_number": "706-528-4211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 MARTHA BERRY BLVD NW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301651623",
            "telephone_number": "706-528-4207",
            "fax_number": "706-528-4211"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Pearl Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "LA Fayette",
            "state": "GA",
            "postal_code": "307287510",
            "country_code": "US",
            "telephone_number": "706-638-3890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "13423 Highway 27 Ste A",
            "address_purpose": "LOCATION",
            "city": "Trion",
            "state": "GA",
            "postal_code": "307531556",
            "country_code": "US",
            "telephone_number": "706-696-0505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "12415 N Main Street",
            "address_purpose": "LOCATION",
            "city": "Trenton",
            "state": "GA",
            "postal_code": "30752",
            "country_code": "US",
            "telephone_number": "706-657-2700",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELAINO",
        "first_name": "COLE",
        "middle_name": "EDWIN",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-05-03",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "GA",
            "license": "PTA005219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc Merrick Dean, MD
• Billy Don Deberry III
• Dana Stephens Deboskey, PH.D.
• Amanda Elizabeth Dee
• Luke Alexander Del Balzo, MD
• Russell Edwin Delaino, D.C.
• Stephany J Delgado
• Danielle Kristy Dell
• Hailu Demissachew, MD
• Kyle Dennis, DO

• Physical Therapy Assistant in Rome, GA
• Providers in Rome, GA by specialty
• Physical Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2024; 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.