Active NPI
Ronaldo Basto Coloma, RPT
- Physical Therapist
- Joliet, IL
National Provider Identifier
1699900910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070.014683
- Practice address
- 2203 Pembridge LN
Joliet, IL 60431-7731 - Phone
- (815) 409-8301
- Fax
- (815) 267-8505
- NPI assigned
- May 17, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 070.014683 | IL | Primary |
Addresses
Primary practice location
2203 Pembridge LN
Joliet, IL 60431-7731
Mailing address
2203 Pembridge LN
Joliet, IL 60431-7731
Phone (815) 409-8301
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
| License | State | Type | Specialty |
|---|---|---|---|
| 070.014683 | IL | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Care Rehab, Inc. | Physical Therapist | Past | Accepting new patients |
| VCP Home Health Care Inc | Past | Accepting new patients | |
| Garden State Spine and Pain Institute LLC | Physical Therapist | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Physical Therapist
- Joliet, IL
- NPI 1730414699
-
- Home Health Agency
- Joliet, IL
- NPI 1275733610
-
- Chiropractor
- Eatontown, NJ
- NPI 1023196094
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242518400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1242518400000",
"number": "1699900910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2203 PEMBRIDGE LN",
"city": "JOLIET",
"state": "IL",
"postal_code": "604317731",
"telephone_number": "815-409-8301",
"fax_number": "815-267-8505"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2203 PEMBRIDGE LN",
"city": "JOLIET",
"state": "IL",
"postal_code": "604317731",
"telephone_number": "815-409-8301",
"fax_number": "815-267-8505"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLOMA",
"first_name": "RONALDO",
"middle_name": "BASTO",
"name_prefix": "Mr.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-05-17",
"last_updated": "2009-05-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.014683",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.