Barbara Colburn

Individual provider Active NPI Physical Therapy Assistant · Heathrow, FL

NPI 1497926034 · NPPES record last updated Mar 21, 2008

Key facts

NPI
1497926034
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapy Assistant 225200000X
License
19182 (FL)
Practice address
1485 International Pkwy
2051
Heathrow, FL 32746-5303
Phone
(800) 798-6035
NPI assigned
Mar 21, 2008
Sex
Female
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
19182FLMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Voyage Staffing Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 19182 FL Yes

Addresses

Primary practice location

1485 International Pkwy
2051
Heathrow, FL 32746-5303

Mailing address

1485 International Pkwy
2051
Heathrow, FL 32746-5303
Phone (800) 798-6035

Other providers in Heathrow, FL

All providers in Heathrow, FL · Physical Therapy Assistant in Florida

Sources for this page

Verify at the official NPI Registry.