Provider Demographics
NPI:1497534077
Name:COLINA, JULIAN (DPT, PT)
Entity type:Individual
Prefix:
First Name:JULIAN
Middle Name:
Last Name:COLINA
Suffix:
Gender:M
Credentials:DPT, PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 CORPORATE DR STE 400
Mailing Address - Street 2:
Mailing Address - City:HOOVER
Mailing Address - State:AL
Mailing Address - Zip Code:35242-5424
Mailing Address - Country:US
Mailing Address - Phone:866-518-0283
Mailing Address - Fax:
Practice Address - Street 1:4600 W VILLAGE PL SE STE 4007
Practice Address - Street 2:
Practice Address - City:SMYRNA
Practice Address - State:GA
Practice Address - Zip Code:30080-9213
Practice Address - Country:US
Practice Address - Phone:770-438-2015
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-25
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VACP044018T225100000X
TNCP044019T225100000X
NCCP044020T225100000X
SCCP044021T225100000X
KYCP044221T225100000X
WICP044515T225100000X
MOCP044614T225100000X
GAPT016656225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist