Individual provider Active NPI

Colleen Grace Donley, PT

  • Pediatric Physical Therapist
  • Springfield, VA
National Provider Identifier
1801232533
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
2305207967 Issued in VA
Practice address
6506 Loisdale Rd Ste 300
Springfield, VA 22150-1815
Phone
(703) 924-4100
NPI assigned
May 21, 2013
Last updated
May 21, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 2305207967 VA Primary

Addresses

Primary practice location

6506 Loisdale Rd Ste 300
Springfield, VA 22150-1815

Mailing address

609 N Pickett St
Alexandria, VA 22304-2109

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2305207967VAMDPediatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1801232533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 N PICKETT ST",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6506 LOISDALE RD STE 300",
            "city": "SPRINGFIELD",
            "state": "VA",
            "postal_code": "221501815",
            "telephone_number": "703-924-4100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DONLEY",
        "first_name": "COLLEEN",
        "middle_name": "GRACE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "VA",
            "license": "2305207967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springfield, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.