Wilfredo Oscar Colon, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA00817 Issued in RI

Practice address

845 N Main St
Providence, RI 02904-5700

Phone

(401) 270-1905

Fax

(401) 270-5658

NPI assigned

Jul 15, 2011

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1310688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310688000000",
    "number": "1962790691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "845 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045700",
            "telephone_number": "401-270-1905",
            "fax_number": "401-270-5658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "845 N MAIN ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029045700",
            "telephone_number": "401-270-1905",
            "fax_number": "401-270-5658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLON",
        "first_name": "WILFREDO",
        "middle_name": "OSCAR",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-15",
        "last_updated": "2011-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "RI",
            "license": "PTA00817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Collins, DMD
• Kaitlin S Collins, MS, NP
• Paul Collins, MA. CAGS
• Rebecca Lynne Collins, OTR/L
• Samantha Collum, PSY.D.
• Rosella Colonna, LCSW
• Scott A Colonna, O.D.
• Theresa J Colonna, O.D.
• Eulogia Colop
• Maria Celmira Mancebo Coltey, PH.D.

• Physical Therapy Assistant in Providence, RI
• Providers in Providence, RI by specialty
• Physical Therapy Assistant in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2011; 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.