Individual provider Active NPI

Judy Marie Colabella, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • Katy, TX
National Provider Identifier
1942278254
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
H2053 Issued in TX
Practice address
830 S Mason Rd Ste B5
Katy, TX 77450-3863
Phone
(281) 507-0732
Fax
(877) 890-4365
NPI assigned
Mar 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X H2053 TX Primary

Addresses

Primary practice location

830 S Mason Rd Ste B5
Katy, TX 77450-3863

Mailing address

830 S Mason Rd
Suite B-5
Katy, TX 77450-3863
Phone (281) 507-0732

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060328000705 TX Practitioner - Osteopathic Manipulative Medicine 2961410253 Practice locations: Katy, TX

Care Compare profile

Medicare Care Compare
Specialty
Osteopathic Manipulative Medicine
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

20723 Prince Creek Dr
Katy, TX 77450-4905

830 S Mason Rd
Suite B5
Katy, TX 77450-3863
Phone (281) 507-0732

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

NPI Registry JSON

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

{
    "created_epoch": "1141948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1942278254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "830 S MASON RD",
            "address_2": "SUITE B-5",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774503863",
            "telephone_number": "281-507-0732",
            "fax_number": "877-890-4365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "830 S MASON RD STE B5",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774503863",
            "telephone_number": "281-507-0732",
            "fax_number": "877-890-4365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLABELLA",
        "first_name": "JUDY",
        "middle_name": "MARIE",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-03-10",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "TX",
            "license": "H2053",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.