Individual provider Active NPI

David Joseph Columb, DPT, OCS, MT(ASCP)

  • Physical Therapist
  • Marquette, MI
National Provider Identifier
1497952824
Registry record updated Jul 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501013362 Issued in MI
Practice address
1001 M 28 E
Suite 8
Marquette, MI 49855-9322
Phone
(906) 273-1525
NPI assigned
Jun 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 5501013362 MI Primary

Addresses

Primary practice location

1001 M 28 E
Suite 8
Marquette, MI 49855-9322

Mailing address

1001 M 28 E
Suite 8
Marquette, MI 49855-9322
Phone (906) 273-1525

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120622000021 MI Practitioner - Physical Therapist in Private Practice 1052579083 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1001 State Hwy M28 E
Suite 8
Marquette, MI 49855-9322
Phone (906) 273-1525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501013362MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Michigan Physical Therapy Physical Therapist CurrentSince Dec 12, 2011 Accepting new patients

Locations

1001 State Highway M28 E
Ste 8
Marquette, MI 49855
Phone (906) 273-1525

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.

NPI Registry JSON

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

{
    "created_epoch": "1183075200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1341187200000",
    "number": "1497952824",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 M 28 E",
            "address_2": "SUITE 8",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498559322",
            "telephone_number": "906-273-1525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 M 28 E",
            "address_2": "SUITE 8",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498559322",
            "telephone_number": "906-273-1525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLUMB",
        "first_name": "DAVID",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "DPT, OCS, MT(ASCP)",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-29",
        "last_updated": "2012-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501013362",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.