Jose Ismel Collado, PT, DPT, LMT is a
Physical Therapist based in Norwalk, Connecticut. Jose Ismel Collado is licensed to practice in Connecticut (license number 14775) and his current practice location is
250 Westport Ave, Norwalk, Connecticut. He can be reached at his office (for appointments etc.) via phone at
(917) 515-0288.
NPI number for Jose Ismel Collado is 1053849828 and his current mailing address is 65 Wedgewood Pl, Bridgeport, Connecticut. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1053849828.
Healthcare Provider's Profile
| Full Name | Jose Ismel Collado |
|---|
| Gender | Male |
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| Speciality | Physical Therapist |
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| Location | 250 Westport Ave, Norwalk, Connecticut |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1053849828
- Provider Enumeration Date: 05/24/2017
- Last Update Date: 02/18/2025
Medical Identifiers
Medical identifiers for Jose Ismel Collado such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1053849828 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 225700000X | Massage Therapist | 007864 (Connecticut) | Secondary |
| 225100000X | Physical Therapist | 14775 (Connecticut) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jose Ismel Collado is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Jose Ismel Collado, PT, DPT, LMT
65 Wedgewood Pl,
Bridgeport, CT 06606-1927
Ph: (917) 515-0288 | Jose Ismel Collado, PT, DPT, LMT
250 Westport Ave,
Norwalk, CT 06851-4158
Ph: (917) 515-0288 |
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