Active NPI
Colleen Stow
- Physical Therapist
- Solomons, MD
National Provider Identifier
1780137869
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25993
- Practice address
- 13325 Dowell Road
Solomons, MD 20688 - Phone
- (410) 446-8172
- NPI assigned
- Jul 26, 2016
- Sex
- Female
- 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 Therapist | 225100000X | 25993 | MD | Primary |
Addresses
Primary practice location
13325 Dowell Road
Solomons, MD 20688
Mailing address
39818 Grandview Haven Dr
Mechanicsville, MD 20659-5472
Phone (240) 446-4053
Other names 1
- Colleen Dennison
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 |
|---|---|---|---|
| 25993 | MD | MD | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Physical Therapy & Wellness LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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 Therapy Clinic/Center
- Cambridge, MD
- NPI 1467757575
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1469491200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1469491200000",
"number": "1780137869",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "39818 GRANDVIEW HAVEN DR",
"city": "MECHANICSVILLE",
"state": "MD",
"postal_code": "206595472",
"telephone_number": "240-446-4053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13325 DOWELL ROAD",
"city": "SOLOMONS",
"state": "MD",
"postal_code": "20688",
"telephone_number": "410-446-8172"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STOW",
"first_name": "COLLEEN",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-07-26",
"last_updated": "2016-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "25993",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "COLLEEN",
"last_name": "DENNISON",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Solomons, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.