Individual provider Active NPI

Collin Alexander Britnell, DPT

  • Physical Therapist
  • Glastonbury, CT
National Provider Identifier
1104437474
Registry record updated Aug 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12793 Issued in CT
Practice address
84 Glastonbury Blvd Ste 101
Glastonbury, CT 06033-4468
Phone
(860) 652-8883
NPI assigned
Aug 11, 2020
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Sports Specialists PC 9 clinicians

Practice addresses (Care Compare)

84 Glastonbury Blvd
Suite 101
Glastonbury, CT 06033-4468
Phone (860) 652-8883

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201023001508 CT Practitioner - Physical Therapist in Private Practice 3072933431 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12793CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Sports Specialists, PC CurrentSince Aug 10, 2020 Accepting new patients
Orthopaedic Sports Specialists, PC PastSince Aug 10, 2020 Accepting new patients

Locations

84 Glastonbury Blvd
Ste 101
Glastonbury, CT 06033
Phone (860) 652-8883

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12793 CT Primary

Addresses

NPPES NPI Registry

Primary practice location

84 Glastonbury Blvd Ste 101
Glastonbury, CT 06033-4468

Mailing address

84 Glastonbury Blvd Ste 101
Glastonbury, CT 06033-4468

Electronic endpoints 1

NPPES NPI Registry
TypeEndpointUseAffiliation
Direct Messaging Address amorgan@orthoct.com Direct

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 11, 2020.

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597104000000",
    "number": "1104437474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 GLASTONBURY BLVD STE 101",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 GLASTONBURY BLVD STE 101",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334468",
            "telephone_number": "860-652-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRITNELL",
        "first_name": "COLLIN",
        "middle_name": "ALEXANDER",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-11",
        "last_updated": "2020-08-11",
        "certification_date": "2020-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "12793",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amorgan@orthoct.com",
            "affiliation": "N",
            "endpointDescription": "practice manager work email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "secure email",
            "address_1": "84 Glastonbury Blvd Ste 101",
            "city": "Glastonbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060334468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.