Active NPI
Chris Colligan
- Physical Therapy Assistant
- Wilmington, NC
National Provider Identifier
1750793659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA04050
- Practice address
- 630 Carolina Bay Dr
Wilmington, NC 28403-2031 - Phone
- (910) 769-7500
- NPI assigned
- May 27, 2014
- Last updated
- Apr 30, 2017
- Sex
- Male
- Sole proprietor
- Yes
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 Therapy Assistant | 225200000X | PTA04050 | OH | Primary |
Addresses
Primary practice location
630 Carolina Bay Dr
Wilmington, NC 28403-2031
Mailing address
9816 N Olde Towne Wynd SE
Leland, NC 28451-8411
Phone (740) 407-8485
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA04050 | OH | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1401148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1493510400000",
"number": "1750793659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9816 N OLDE TOWNE WYND SE",
"city": "LELAND",
"state": "NC",
"postal_code": "284518411",
"telephone_number": "740-407-8485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "630 CAROLINA BAY DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284032031",
"telephone_number": "910-769-7500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLLIGAN",
"first_name": "CHRIS",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-05-27",
"last_updated": "2017-04-30",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "OH",
"license": "PTA04050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilmington, NC
- James Matthew Coley, D.O.
- Shannen Coley, OT
- Collaborative Community Care, LLC
- Collective Physical Therapy & Performance
- Colleen Faulkner Counseling, PLLC
- Tara June Colligan
- Collin M Le, DDS, PLLC II (Coastal Smiles Family Dentistry at Landfall)
- Collin M. Le, D.D.S, P.L.L.C. (Coastal Smiles Family Dentistry)
- Alayna Collins, PSYD
- Benjamin Randall Collins, PHARMD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 30, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.