Colonial Rehabilitation Group, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

COLONIAL REHABILITATION GROUP, LLC

Practice address

11611 Robious Rd
Midlothian, VA 23113-2349

Phone

(804) 379-4771

NPI assigned

Dec 2, 2015

Last updated

Mar 2, 2017By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Christopher Brian Durham

Title

President

Phone

(770) 874-5400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1449014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1488412800000",
    "number": "1760857734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5665 NEW NORTHSIDE DR",
            "address_2": "SUITE 320",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285831",
            "telephone_number": "770-874-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11611 ROBIOUS RD",
            "city": "MIDLOTHIAN",
            "state": "VA",
            "postal_code": "231132349",
            "telephone_number": "804-379-4771"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLONIAL REHABILITATION GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-02",
        "last_updated": "2017-03-02",
        "status": "A",
        "authorized_official_last_name": "DURHAM",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-874-5400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon D Collins, PHARMD
• Tammy Collins
• Colonial Orthopaedics Inc (Colonial Orthopaedics)
• Colonial Orthopaedics, Inc. (Colonial Orthopaedics)
• Colonial Rehabilitation Group, LLC
• Daniel Charles Colpo, RPH
• Comfort Counseling, LLC
• Daniel Michael Comins, OTR
• Commonwealth Behavioral Health, Inc.
• Commonwealth Clinic (Love of Jesus Health Clinic)

• Physical Medicine & Rehabilitation Physician in Midlothian, VA
• Providers in Midlothian, VA by specialty
• Physical Medicine & Rehabilitation Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 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.

Verify at the official NPI Registry.