Caitlin O'Connor Collazo, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

000357 Issued in CT

Practice address

200 Bloomfield Ave
West Hartford, CT 06117-1545

Phone

(860) 768-5049

NPI assigned

Aug 5, 2008

Last updated

Feb 25, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• University Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • West Hartford, CT
  • NPI 1235202821
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217894400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298592000000",
    "number": "1134385545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "152 DAVIS RD",
            "city": "SEYMOUR",
            "state": "CT",
            "postal_code": "064832332",
            "telephone_number": "203-736-8651"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BLOOMFIELD AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061171545",
            "telephone_number": "860-768-5049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLLAZO",
        "first_name": "CAITLIN",
        "middle_name": "O'CONNOR",
        "name_prefix": "Mrs.",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-05",
        "last_updated": "2011-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "CT",
            "license": "000357",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michelle Walton Colburn, AU.D.
• Cole Vision Corporation (Sears Optical #C0051)
• Linda S Cole, L.C.S.W.
• Brielle Amaris Coleman
• Wendy Coleman, RPT
• Colleen Dolan, LMFT, LLC
• Brittany Nicole Collins, OTR/L
• Sally T Collins, LPC
• Matthew F Colliton, MD
• Yolanda Colon

• Athletic Trainer in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Athletic Trainer in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.