Healthcare Provider Details

I. General information

NPI: 1386570331
Provider Name (Legal Business Name): ANGEL FELIPE COLON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12000 W 151ST ST STE 201
OLATHE KS
66062-7200
US

IV. Provider business mailing address

14013 COLLEGE BLVD UNIT 6014
OLATHE KS
66215-4021
US

V. Phone/Fax

Practice location:
  • Phone: 913-445-4105
  • Fax:
Mailing address:
  • Phone: 787-432-8439
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number11-08137
License Number StateKS

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: