Active NPI
Colleen Maria O'Donnell
- Physical Therapist
- Tucker, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT016863
- Practice address
- 5844 Lawrenceville Hwy
Tucker, GA 30084-1930 - Phone
- (770) 585-1151
- NPI assigned
- Aug 31, 2021
- Last updated
- Nov 20, 2025
- Sex
- Female
- Sole proprietor
- Yes
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 | PT016863 | GA | Primary |
Addresses
Primary practice location
5844 Lawrenceville Hwy
Tucker, GA 30084-1930
Mailing address
6126 Ogeechee Rd
Mableton, GA 30126-2509
Phone (207) 877-4825
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
2222 Sullivan TRL
Easton, PA 18040-7958
6126 Ogeechee Rd
Mableton, GA 30126-2509
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT016863 | GA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Weston Group Inc. | Physical Therapist | Current | Accepting new patients |
| The Weston Group Inc. | Physical Therapist | Current | Accepting new patients |
| Reliant Senior Living LLC | Physical Therapist | Current | Accepting new patients |
| Reliant Senior Living LLC | Physical Therapist | Current | Accepting new patients |
Locations
1100 Reinhardt College Pkwy
Canton, GA 30114
Phone (770) 721-2812
4838 S Cobb Dr SE
Smyrna, GA 30080
Phone (678) 210-7135
5800 Granite Pkwy
Ste 325
Plano, TX 75024
Organizations & group practices 4
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.
-
dba The Weston Health Care Group Inc
- Physical Therapist
- Acworth, GA
- NPI 1841309101
-
- Physical Therapist
- Easton, PA
- NPI 1750250759
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1630368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1763596800000",
"number": "1174291603",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6126 OGEECHEE RD",
"city": "MABLETON",
"state": "GA",
"postal_code": "301262509",
"telephone_number": "207-877-4825"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5844 LAWRENCEVILLE HWY",
"city": "TUCKER",
"state": "GA",
"postal_code": "300841930",
"telephone_number": "770-585-1151"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'DONNELL",
"first_name": "COLLEEN",
"middle_name": "MARIA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-08-31",
"last_updated": "2025-11-20",
"certification_date": "2025-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT016863",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tucker, GA
- Kristin Noyes, LCSW
- Nursing Care of Georgia (Comfort Keepers)
- Nutrition Consultants of Atlanta, LLC
- Richard Edward Nyberg, P.T.
- Frank Lynwood O'Connor Jr., D.D.S.
- Occupational Health Centers of Georgia PC (Concentra Medical Center)
- Ocmulgee Medical Pathology Association Inc
- Ocmulgee Medical Pathology Association, Inc
- Efosa Omonuwa Ogiamien, MD
- Lola Ogunniyi, PMHNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2025; 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.