Individual provider Active NPI

Colten Poellinger, PT, DPT

  • Physical Therapist
  • Atlanta, GA
National Provider Identifier
1922625094
Registry record updated Jun 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1332361 Issued in TX
Practice address
4516B Chamblee Dunwoody Rd # 22
Atlanta, GA 30338-6202
Phone
(678) 459-3740
NPI assigned
Jul 6, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2021

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 1332361 TX Primary

Addresses

Primary practice location

4516B Chamblee Dunwoody Rd # 22
Atlanta, GA 30338-6202

Mailing address

4516B Chamblee Dunwoody Rd # 22
Atlanta, GA 30338-6202

Other practice location 1

136 Glass St Ste 140
Dallas, TX 75207-6930
Phone (469) 626-7254

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL colten@humanfunctionandperformance.com
CONNECT URL colten.poellinger@ptsolutions.com

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
1332361TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Human Function and Performance, LLC CurrentSince Jul 1, 2020 Accepting new patients

Locations

136 Glass St
Ste 140
Dallas, TX 75207
Phone (469) 405-1852

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.

NPI Registry JSON

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

{
    "created_epoch": "1593993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623888000000",
    "number": "1922625094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516B CHAMBLEE DUNWOODY RD # 22",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516B CHAMBLEE DUNWOODY RD # 22",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303386202",
            "telephone_number": "678-459-3740"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "136 Glass St Ste 140",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752076930",
            "country_code": "US",
            "telephone_number": "469-626-7254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POELLINGER",
        "first_name": "COLTEN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-07-06",
        "last_updated": "2021-06-17",
        "certification_date": "2021-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1332361",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "colten@humanfunctionandperformance.com",
            "affiliation": "N",
            "address_1": "136 Glass St Ste 140",
            "city": "Dallas",
            "state": "TX",
            "country_code": "US",
            "postal_code": "752076930",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "colten.poellinger@ptsolutions.com",
            "affiliation": "N",
            "address_1": "4516B Chamblee Dunwoody Rd # 22",
            "city": "Atlanta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "303386202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.