Individual provider Active NPI

Colin Philip Vanwerkhoven, PT, DPT, CSCS

  • Physical Therapist
  • Hunt Valley, MD
National Provider Identifier
1871151787
Registry record updated Jun 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
27506 Issued in MD
Practice address
11270 Pepper Rd
Hunt Valley, MD 21031-1202
Phone
(301) 712-6143
NPI assigned
Jun 5, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 27506 MD Primary

Addresses

Primary practice location

11270 Pepper Rd
Hunt Valley, MD 21031-1202

Mailing address

6994 Alabaster CT
Middletown, MD 21769-7401
Phone (301) 712-6143

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190703000868 MD Practitioner - Physical Therapist in Private Practice 0244564706 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Privia Medical Group, LLCGroup PAC ID 4385682061, 1,522 clinicians

Practice addresses (Care Compare)

11350 Pembrooke SQ
Suite 304
Waldorf, MD 20603-4809
Phone (571) 366-8845

133 Defense Hwy
Annapolis, MD 21401-7015

1664 Bowmans Farm Rd
Suite 404
Frederick, MD 21701-3190
Phone (443) 609-8009

8895 McGaw Rd
Suite G
Columbia, MD 21045-4746
Phone (443) 441-0616

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
27506MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Felice Physical Therapy Physical Therapist CurrentSince Jun 10, 2019 Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 7, 2023 Accepting new patients
PT Werks LLC Current Accepting new patients
Privia Medical Group, LLC CurrentSince Nov 7, 2023 Accepting new patients
Felice Physical Therapy PastSince Jun 12, 2022 Accepting new patients

Locations

133 Defense Hwy
Ste 112
Annapolis, MD 21401
Phone (410) 573-0140

1020 Hull St
Baltimore, MD 21230
Phone (410) 708-4763

10 Light St
Baltimore, MD 21202
Phone (410) 202-8581

11270 Pepper Rd
Hunt Valley, MD 21031
Phone (410) 708-4763

11350 Pembrooke Sq
Ste 304
Waldorf, MD 20603
Phone (301) 856-2810

Interoperability endpoints

  • Direct secure messaging: colin.vanwerkhoven.1@8042.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1559692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559692800000",
    "number": "1871151787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6994 ALABASTER CT",
            "city": "MIDDLETOWN",
            "state": "MD",
            "postal_code": "217697401",
            "telephone_number": "301-712-6143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11270 PEPPER RD",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311202",
            "telephone_number": "301-712-6143"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANWERKHOVEN",
        "first_name": "COLIN",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, CSCS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-06-05",
        "last_updated": "2019-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "27506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hunt Valley, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.