Colleen Bridget Gilroy, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3701 Issued in OR

Practice address

7722 SE 31St Ave
Portland, OR 97202

Phone

(503) 577-2706

NPI assigned

Feb 5, 2007

Last updated

Oct 25, 2018By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Vitality Physical Therapy Northwest LLC

  • Physical Therapy Clinic/Center
  • Portland, OR
  • NPI 1144738790
  Authorized official Same address or phone

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540425600000",
    "number": "1760521876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7722 SE 31ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "972028537",
            "telephone_number": "503-577-2706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7722 SE 31ST AVE",
            "city": "PORTLAND",
            "state": "OR",
            "postal_code": "97202",
            "telephone_number": "503-577-2706"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "Consonus Rehab Services",
            "address_2": "4560 SE International Way",
            "address_purpose": "LOCATION",
            "city": "Milwaukie",
            "state": "OR",
            "postal_code": "97222",
            "country_code": "US",
            "telephone_number": "971-206-5140",
            "fax_number": "971-206-5209",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GILROY",
        "first_name": "COLLEEN",
        "middle_name": "BRIDGET",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-05",
        "last_updated": "2018-10-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "3701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Payden Gilmore
• Tyler Alexander Gilmore
• Elisha Dan Gilner, LPCA
• Gilo LLC
• Michelle Elaine Gilpin, DPT
• Meghan Lynn Gilroy, P.T.A.
• Steven Michael Gilroy, CRM / PSS
• Gilson Plastic Surgery LLC
• Aaron Gilson, D.O.
• Kimberly Elaine Giltner, CRNA

• Physical Therapist in Portland, OR
• Providers in Portland, OR by specialty
• Physical Therapist in Oregon

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 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.