Active NPI
Colleen Marie Kerins, DPT
- Physical Therapist
- Bay Shore, NY
National Provider Identifier
1053881771
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 043730
- Practice address
- 1470 Sunrise Hwy
Bay Shore, NY 11706-6021 - Phone
- (631) 446-1480
- NPI assigned
- Nov 26, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 043730 | NY | Primary |
Addresses
Primary practice location
1470 Sunrise Hwy
Bay Shore, NY 11706-6021
Mailing address
320A Asharoken Blvd
Bay Shore, NY 11706-6306
Phone (607) 624-8707
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reddy Care Physical Therapy PC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1543190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1543190400000",
"number": "1053881771",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "320A ASHAROKEN BLVD",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117066306",
"telephone_number": "607-624-8707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1470 SUNRISE HWY",
"city": "BAY SHORE",
"state": "NY",
"postal_code": "117066021",
"telephone_number": "631-446-1480"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KERINS",
"first_name": "COLLEEN",
"middle_name": "MARIE",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-26",
"last_updated": "2018-11-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "043730",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bay Shore, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.