Colleen Wills, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01890400 Issued in NJ

Practice address

235 Somerset Rd
Woodbury, NJ 08096-6017

Phone

(609) 706-9270

NPI assigned

Apr 27, 2021

Last updated

May 20, 2021By the provider in NPPES

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)

Enrolled

State licenses

Practice roles

Locations

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.

• Therasport Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Sewell, NJ
  • NPI 1649486515

  Single Specialty

  NPD
• Ipta Clinical, LLC

  • Physical Therapy Clinic/Center
  • Medford, NJ
  • NPI 1760764484

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1619481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621468800000",
    "number": "1790367977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 SOMERSET RD",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080966017",
            "telephone_number": "609-706-9270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 SOMERSET RD",
            "city": "WOODBURY",
            "state": "NJ",
            "postal_code": "080966017",
            "telephone_number": "609-706-9270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLS",
        "first_name": "COLLEEN",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-04-27",
        "last_updated": "2021-05-20",
        "certification_date": "2021-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01890400",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julia Lynne White, COUNSELOR
• Kelly White, PHD, LPC, CCTP
• Rona Whitehead
• Markus Whitley, MD
• Lauren Brooke Willis, LCADC
• Julia Wilson, LAC
• WM III TRS LLC
• Kimberly Woeller, LPC
• Danielle Wood, MS
• Joseph Michael Wood, PHARMD

• Physical Therapist in Woodbury, NJ
• Providers in Woodbury, 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 May 20, 2021; 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.