Active NPI
Brian Colvin, OT
- Occupational Therapist
- Middleburg HTS, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 16600 Sprague St.
365
Middleburg HTS., OH 44130 - Phone
- (216) 227-7700
- NPI assigned
- Mar 31, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | OT4906 | OH | |
| Occupational Therapist | 225X00000X | Primary |
Addresses
Primary practice location
16600 Sprague St.
365
Middleburg HTS., OH 44130
Mailing address
PO Box 246
North Olmsted, OH 44070-0246
Phone (216) 227-7700
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT4906 | OH | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Theraplay4Kidz, LLC | Occupational Therapist | Current | Accepting new patients |
| Wallace Management Corporation | Occupational Therapist | Past | Accepting new patients |
| Olmsted Health & Services Corp. | Past | Accepting new patients |
Locations
21045 N 9th Pl
Ste 204
Phoenix, AZ 85024
Phone (480) 548-2601
530 E McDowell Rd
Ste 107495
Phoenix, AZ 85004
9525 E Doubletree Ranch Rd
Ste 101
Scottsdale, AZ 85258
Phone (480) 488-3946
Organizations & group practices 3
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.
-
dba Eliza Jennings Senior Care
- Internal Medicine Physician
- Olmsted Falls, OH
- NPI 1851370647
-
dba Rehabilitex
- Physical Therapist
- Dublin, OH
- NPI 1043298425
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1206921600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532995200000",
"number": "1790957728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 246",
"city": "NORTH OLMSTED",
"state": "OH",
"postal_code": "440700246",
"telephone_number": "216-227-7700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16600 SPRAGUE ST.",
"address_2": "365",
"city": "MIDDLEBURG HTS.",
"state": "OH",
"postal_code": "44130",
"telephone_number": "216-227-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLVIN",
"first_name": "BRIAN",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-03-31",
"last_updated": "2018-07-31",
"status": "A"
},
"taxonomies": [
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "OH",
"license": "OT4906",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Middleburg HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.