Michael L Colegrove, PT

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

P4627 Issued in NC

Practice address

9101 Ashton Brook Dr
Kernersville, NC 27284-8467

Phone

(336) 971-3000

NPI assigned

Jun 14, 2012

Last updated

Jul 7, 2022By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Regent LLCGroup PAC ID 5698098630, 6 clinicians

Practice addresses (Care Compare)

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.

• Regent LLC

  • Occupational Therapist
  • Durham, NC
  • NPI 1700287695
  Medicare reassignment Care Compare group
• Horizon Internal Medicine PLLC

  • Internal Medicine Physician
  • High Point, NC
  • NPI 1033353941
  Medicare reassignment NPD
• Solana Rehab LLC

  • Occupational Therapist
  • Durham, NC
  • NPI 1164171211
  Medicare reassignment NPD
• NC Elder Care PLLC

  • Internal Medicine Physician
  • High Point, NC
  • NPI 1962948240
  NPD (past)

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

{
    "created_epoch": "1339632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657152000000",
    "number": "1871855825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 ASHTON BROOK DR",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272848467",
            "telephone_number": "336-971-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9101 ASHTON BROOK DR",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272848467",
            "telephone_number": "336-971-3000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLEGROVE",
        "first_name": "MICHAEL",
        "middle_name": "L",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-06-14",
        "last_updated": "2022-07-07",
        "certification_date": "2022-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "NC",
            "license": "P4627",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY",
            "identifier": "P4627",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexis Cobb
• Stephen Harrison Cockburn, MD
• Meagan Early Cockfield, NP
• Meghan Cody, PHD
• Laura Cole, N.P.
• Frank Joseph Colella, FNP-BC
• Lauren Coltrane
• Community General Health Partners Inc (Novant Health Rheumatology and Arthritis)
• Cone Health
• Julie Ann Conklin, APRN, FNP-BC

• Geriatric Physical Therapist in Kernersville, NC
• Providers in Kernersville, NC by specialty
• Geriatric Physical Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2022; 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.