Individual provider Active NPI

Colby Lee Stevens, PT

  • Physical Therapist
  • Oxford, NC
National Provider Identifier
1669647038
Registry record updated Apr 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2904 Issued in NC
Practice address
500 Prospect Ave
Oxford, NC 27565-2543
Phone
(919) 692-1005
NPI assigned
Apr 28, 2008
Last updated
Apr 28, 2008By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2008

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 2904 NC Primary

Addresses

Primary practice location

500 Prospect Ave
Oxford, NC 27565-2543

Mailing address

500 Prospect Ave
Oxford, NC 27565-2543
Phone (919) 692-1005

Other identifiers 1

IdentifierTypeStateIssuer
2904OtherNCNC PT LICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051004000451 NC Practitioner - Physical Therapist in Private Practice 0143255646 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Vermont College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Therapy, PLLCGroup PAC ID 3375456270, 7 clinicians

Practice addresses (Care Compare)

8300 Falls of Neuse Rd
Suite 104
Raleigh, NC 27615-3450
Phone (919) 846-9668

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
2904NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Therapy, PLLC Physical Therapist CurrentSince Jan 1, 2025 Accepting new patients
Advanced Therapy Physical Therapist PastSince Jan 1, 2025 Accepting new patients
Wilson Orthopaedic Surgery & Neurology Center PA Past Accepting new patients

Locations

8300 Falls of Neuse Rd
Ste 104
Raleigh, NC 27615
Phone (919) 426-9292

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": "1209340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1209340800000",
    "number": "1669647038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 PROSPECT AVE",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652543",
            "telephone_number": "919-692-1005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 PROSPECT AVE",
            "city": "OXFORD",
            "state": "NC",
            "postal_code": "275652543",
            "telephone_number": "919-692-1005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "COLBY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-04-28",
        "last_updated": "2008-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "2904",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC PT LICENSE",
            "identifier": "2904",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oxford, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2008; 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.