Active NPI
Matthew Noel Colgan, OTRL
- Occupational Therapist
- Hanover, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC009552
- Practice address
- 470 Eisenhower Dr
Hanover, PA 17331 - Phone
- (717) 747-8361
- Fax
- (717) 747-2114
- NPI assigned
- Oct 22, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC009552 | PA | Primary |
Addresses
Primary practice location
470 Eisenhower Dr
Hanover, PA 17331
Mailing address
1861 Powder Mill Road
Attn Medical Staff Office
York, PA 17402-4723
Phone (717) 718-2041
Other practice location 1
470 Eisenhower Dr
Hanover, PA 17331
Phone (717) 747-8361
Other practice location 2
1855 Powder Mill Rd
York, PA 17402-4723
Phone (717) 848-4800
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OC009552 | PA | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fox Rehabilitation Services Inc | Occupational Therapist | Current | Accepting new patients |
| Hanover Hand and Upper Extremity Specialist, LLC | Occupational Therapist | Past | Accepting new patients |
Locations
7 Carnegie Plz
Cherry Hill, NJ 08003
470 N Lewis Rd
Limerick, PA 19468
Phone (610) 792-8800
1122 Highway 315 Blvd
Wilkes Barre, PA 18702
Phone (877) 407-4322
Organizations & group practices 2
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.
-
- Physical Therapist
- Wilmington, DE
- NPI 1326092503
Occupational Therapist, PA
-
- Hand Occupational Therapist
- Hanover, PA
- NPI 1538884465
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193011200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595462400000",
"number": "1881883296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1861 POWDER MILL ROAD",
"address_2": "ATTN MEDICAL STAFF OFFICE",
"city": "YORK",
"state": "PA",
"postal_code": "174024723",
"telephone_number": "717-718-2041",
"fax_number": "717-747-2102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "470 EISENHOWER DR",
"city": "HANOVER",
"state": "PA",
"postal_code": "17331",
"telephone_number": "717-747-8361",
"fax_number": "717-747-2114"
}
],
"practiceLocations": [
{
"address_1": "470 Eisenhower Dr",
"address_purpose": "LOCATION",
"city": "Hanover",
"state": "PA",
"postal_code": "17331",
"country_code": "US",
"telephone_number": "717-747-8361",
"fax_number": "717-747-2114",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1855 Powder Mill Rd",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174024723",
"country_code": "US",
"telephone_number": "717-848-4800",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COLGAN",
"first_name": "MATTHEW",
"middle_name": "NOEL",
"name_prefix": "Mr.",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-22",
"last_updated": "2020-07-23",
"certification_date": "2020-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC009552",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hanover, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2020; 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.