Colleen Ronkowski, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA00931600 Issued in NJ

Practice address

70 Maneim Avenue
Suite 3
Bridgeton, NJ 08302

Phone

(856) 455-9700

Fax

(856) 455-9791

NPI assigned

Feb 9, 2007

Sex

Female

Sole proprietor

Yes

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

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

{
    "created_epoch": "1170979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700927274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 CANDLELIGHT DR",
            "city": "WOODSTOWN",
            "state": "NJ",
            "postal_code": "080981355",
            "telephone_number": "856-769-4462",
            "fax_number": "856-455-9791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "70 MANEIM AVENUE",
            "address_2": "SUITE 3",
            "city": "BRIDGETON",
            "state": "NJ",
            "postal_code": "08302",
            "telephone_number": "856-455-9700",
            "fax_number": "856-455-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RONKOWSKI",
        "first_name": "COLLEEN",
        "name_prefix": "Mrs.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-09",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA00931600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Lauren Robbins
• Grant Lee Robinson Sr.
• Jacqueline Rodriguez, FNP-C
• Dorothy M Rollar, LPN
• Ronald B Lorenc MD PA
• Farah Roomi, M.D.
• Bertha Michelle Roser, ANP-BC
• David P Russo, M.D., FACS
• Dale M Rutala, PHYSICAL THRAPIST
• Joseph D Rutala, PT DPT

• Physical Therapist in Bridgeton, NJ
• Providers in Bridgeton, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.