Joseph Colgain, RPT

Individual provider Active NPI Physical Therapist · Forest Hill, MD

NPI 1902826548 · NPPES record last updated Oct 21, 2008

Key facts

NPI
1902826548
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
15142 (MD)
Practice address
12 Newport Dr
Suite a
Forest Hill, MD 21050-1758
Phone
(410) 838-6808
Fax
(410) 838-2511
NPI assigned
Jul 19, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
Carroll Sports Rehabilitation and Physical Therapy, LLC Physical Therapist Past
since Aug 1, 2007
Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15142 MD Yes

Addresses

Primary practice location

12 Newport Dr
Suite a
Forest Hill, MD 21050-1758

Mailing address

PO Box 179
Forest Hill, MD 21050-0179
Phone (410) 838-6808

Other identifiers

IdentifierTypeStateIssuer
412138OtherMDBCBS MD

Other providers in Forest Hill, MD

All providers in Forest Hill, MD · Physical Therapist in Maryland

Sources for this page

Verify at the official NPI Registry.