Individual provider Active NPI

Katerina Colburn, PT

  • Orthopedic Physical Therapist
  • Bedford, NH
National Provider Identifier
1508215914
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
4095 Issued in NH
Practice address
40 S River Rd
Unit 58
Bedford, NH 03110-6719
Phone
(603) 626-4205
Fax
(603) 668-9943
NPI assigned
Jun 7, 2016
Last updated
Jun 7, 2016By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 4095 NH Primary

Addresses

Primary practice location

40 S River Rd
Unit 58
Bedford, NH 03110-6719

Mailing address

835 Hanover St
Suite 102
Manchester, NH 03104-5401
Phone (603) 625-1864

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4095NHMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Silver Fern Practice, LLC CurrentSince Aug 21, 2019 Accepting new patients
Merrimack Valley Physical Therapy Orthopedic CurrentSince Jun 7, 2016 Accepting new patients
Silver Fern Practice, LLC Orthopedic CurrentSince Aug 21, 2019 Accepting new patients

Locations

40 S River Rd
Unit 58
Bedford, NH 03110
Phone (603) 626-4205

85 S River Rd
Ste 4
Bedford, NH 03110
Phone (603) 626-4205

5 Clinton St
Concord, NH 03301
Phone (603) 224-3511

12 Parmenter Rd
Unit C7
Londonderry, NH 03053
Phone (603) 434-6592

835 Hanover St
Ste 102
Manchester, NH 03104
Phone (603) 625-1864

76 Northeastern Blvd
Ste 24B
Nashua, NH 03062
Phone (603) 943-5029

4 Richmond Sq
Ste 200
Providence, RI 02906

375 Wampanoag Trl
Ste 403
Riverside, RI 02915
Phone (401) 270-8770

41 Sanderson Rd
Ste 101
Smithfield, RI 02917
Phone (401) 349-4540

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1465257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465257600000",
    "number": "1508215914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 HANOVER ST",
            "address_2": "SUITE 102",
            "city": "MANCHESTER",
            "state": "NH",
            "postal_code": "031045401",
            "telephone_number": "603-625-1864",
            "fax_number": "603-668-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 S RIVER RD",
            "address_2": "UNIT 58",
            "city": "BEDFORD",
            "state": "NH",
            "postal_code": "031106719",
            "telephone_number": "603-626-4205",
            "fax_number": "603-668-9943"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBURN",
        "first_name": "KATERINA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-07",
        "last_updated": "2016-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NH",
            "license": "4095",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bedford, NH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.