Individual provider Active NPI

Colleen Monahan Guetherman, DPT

  • Physical Therapist
  • Brunswick, GA
National Provider Identifier
1558147207
Registry record updated Oct 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT016816 Issued in GA
Practice address
665 Scranton Rd Ste 3
Brunswick, GA 31520-1975
Phone
(912) 280-9205
NPI assigned
Sep 7, 2023
Last updated
Oct 31, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2023

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 PT016816 GA Primary

Addresses

Primary practice location

665 Scranton Rd Ste 3
Brunswick, GA 31520-1975

Mailing address

665 Scranton Rd Ste 3
Brunswick, GA 31520-1975
Phone (912) 280-9205

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231009001377 GA Practitioner - Physical Therapist in Private Practice 2668827890 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT016816GAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist CurrentSince Sep 7, 2023 Accepting new patients
Advance Rehabilitation & Consulting Limited Partnership Physical Therapist CurrentSince Sep 7, 2023 Accepting new patients
McMahan Neurological Rehabilitation, Inc. Physical Therapist CurrentSince Feb 5, 2025 Accepting new patients

Locations

665 Scranton Rd
Ste 3
Brunswick, GA 31520
Phone (912) 280-9205

1000 Johnson Ferry Rd
Ste A115
Marietta, GA 30068
Phone (404) 367-2085

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": "1694044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698710400000",
    "number": "1558147207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 SCRANTON RD STE 3",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315201975",
            "telephone_number": "912-280-9205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 SCRANTON RD STE 3",
            "city": "BRUNSWICK",
            "state": "GA",
            "postal_code": "315201975",
            "telephone_number": "912-280-9205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUETHERMAN",
        "first_name": "COLLEEN",
        "middle_name": "MONAHAN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-07",
        "last_updated": "2023-10-31",
        "certification_date": "2023-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brunswick, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.