Ivy Grace Colbert, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT292158 Issued in CA

Practice address

457 N Elm Street
Escondido, CA 92025-3001

Phone

(760) 489-1969

Fax

(760) 489-5226

NPI assigned

Nov 17, 2016

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

Other names 1

• Ivy Grace Orlina Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Empower Physical Therapy Inc

  • Orthopedic Physical Therapist
  • San Diego, CA
  • NPI 1548983901
  NPD Authorized official

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

{
    "created_epoch": "1479340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1538956800000",
    "number": "1679015994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "457 N ELM STREET",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253001",
            "telephone_number": "760-489-1969",
            "fax_number": "760-489-5226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "457 N ELM STREET",
            "city": "ESCONDIDO",
            "state": "CA",
            "postal_code": "920253001",
            "telephone_number": "760-489-1969",
            "fax_number": "760-489-5226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLBERT",
        "first_name": "IVY",
        "middle_name": "GRACE",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-17",
        "last_updated": "2018-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT292158",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "IVY",
            "last_name": "ORLINA",
            "middle_name": "GRACE",
            "credential": "D.P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Zhanette Hope Coffee, FNP-C, MSN, BSN, RN
• Cara E. Cohen, MD
• Jennifer P Cohen, M.D.
• Naike Cohen, DPT
• Neville Stanley Cohen, O.D.
• Ashley Brooksbank Colburn, APCC
• Cathleen Colby, R.N.
• Victoria Cole
• Armani Ulan Coleman
• Pamela Lynn Coleson, PA-C

• Physical Therapist in Escondido, CA
• Providers in Escondido, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 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.