Colleen Lee Indermill, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT13014 Issued in CA

Practice address

27225 Camp Plenty Rd
Suite 6
Canyon Country, CA 91351-2654

Phone

(661) 298-0140

Fax

(661) 298-1207

NPI assigned

Jul 20, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1985

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Relief Physical Therapy IncGroup PAC ID 9234163809, 2 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 and National Provider Directory roles.

• Relief Physical Therapy, Inc.

  dba Sierra Canyon Physical Therapy

  • Physical Therapy Clinic/Center
  • Canyon Country, CA
  • NPI 1003098922

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1902036353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27225 CAMP PLENTY RD",
            "address_2": "SUITE 6",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913512654",
            "telephone_number": "661-298-0140",
            "fax_number": "661-298-1207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27225 CAMP PLENTY RD",
            "address_2": "SUITE 6",
            "city": "CANYON COUNTRY",
            "state": "CA",
            "postal_code": "913512654",
            "telephone_number": "661-298-0140",
            "fax_number": "661-298-1207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INDERMILL",
        "first_name": "COLLEEN",
        "middle_name": "LEE",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT13014",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diana Hogdanian
• Suren Hovhannisyan
• Jin A Hur, D.O.
• Adriana Hurtado, DDS
• I. Shahinyan D.D.S, Incorporated (Smiles Dental Group)
• Invincible Villas, Inc.
• Ira S Latto MD Medical Corp
• Abdallah Ishac
• Theresa Jacobs
• Cristal Jones, MCHES

• Physical Therapist in Canyon Country, CA
• Providers in Canyon Country, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.