Individual provider Active NPI

Eoin Colleran, PT

  • Physical Therapist
  • Greensboro, NC
National Provider Identifier
1912306192
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P13447 Issued in NC
Practice address
3726B Battleground Ave
Greensboro, NC 27410-2344
Phone
(336) 706-4321
Fax
(336) 900-2129
NPI assigned
Aug 14, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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 P13447 NC Primary

Addresses

Primary practice location

3726B Battleground Ave
Greensboro, NC 27410-2344

Mailing address

3726B Battleground Ave
Greensboro, NC 27410-2344
Phone (336) 706-4321

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200806000048 NC Practitioner - Physical Therapist in Private Practice 7517382658 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Celtic Physical Therapy LLCGroup PAC ID 6002290269, 2 clinicians

Practice addresses (Care Compare)

3726 Battleground Ave
Suite B
Greensboro, NC 27410-2344
Phone (336) 706-4321

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Celtic Wound Care LLC CurrentSince Jan 28, 2024 Accepting new patients
Celtic Physical Therapy, LLC Physical Therapist CurrentSince Apr 8, 2022 Accepting new patients

Locations

3726B Battleground Ave
Greensboro, NC 27410
Phone (318) 623-2080

3726 Battleground Ave
#B
Greensboro, NC 27410
Phone (336) 265-6731

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.

NPI Registry JSON

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1912306192",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3726B BATTLEGROUND AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102344",
            "telephone_number": "336-706-4321",
            "fax_number": "336-900-2129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3726B BATTLEGROUND AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274102344",
            "telephone_number": "336-706-4321",
            "fax_number": "336-900-2129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLERAN",
        "first_name": "EOIN",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-14",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P13447",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.