Coleen Donovan

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

46TR00532700 Issued in NJ

Practice address

25 Mountainview Blvd Ste 207
Basking Ridge, NJ 07920-3453

Phone

(908) 758-1006

Fax

(908) 360-0511

NPI assigned

Feb 27, 2018

Sex

Female

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

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.

• Riverwalk Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Basking Ridge, NJ
  • NPI 1750681201
  NPD (past)

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1519689600000",
    "number": "1578064267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 MOUNTAINVIEW BLVD STE 207",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079203453",
            "telephone_number": "908-758-1006",
            "fax_number": "908-360-0511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 MOUNTAINVIEW BLVD STE 207",
            "city": "BASKING RIDGE",
            "state": "NJ",
            "postal_code": "079203453",
            "telephone_number": "908-758-1006",
            "fax_number": "908-360-0511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONOVAN",
        "first_name": "COLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-02-27",
        "last_updated": "2018-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NJ",
            "license": "46TR00532700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Frederick Dimesa, DO
• Donnald Lorne Dindinger, D.C.
• Thomas V Distefano, DMD
• Nisha Divan, MD
• Leo Francis Doherty, MD
• Karen D. Dougherty
• Vivian Maria Dourney, APN
• Katelyn G Doyle, LSW
• Dr. J Scott Henning, DO LLC (Henning Dermatology Group)
• Michael R Drews, M.D.

• Occupational Therapist in Basking Ridge, NJ
• Providers in Basking Ridge, NJ by specialty
• Occupational Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2018; 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.