Individual provider Active NPI

Colleen Scordato, DPT, MDT

  • Physical Therapist
  • Winter Park, FL
National Provider Identifier
1194012690
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT25445 Issued in FL
Practice address
1341 Orange Ave
Winter Park, FL 32789-4909
Phone
(407) 691-7687
Fax
(407) 691-7697
NPI assigned
Jul 5, 2011
Last updated
Jan 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT25445 FL Primary

Addresses

Primary practice location

1341 Orange Ave
Winter Park, FL 32789-4909

Mailing address

1341 Orange Ave
Winter Park, FL 32789-4909
Phone (407) 691-7687

Other practice location 1

1301 Sligh Blvd
Orlando, FL 32806-3901
Phone (407) 649-6888

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240109001256 FL Practitioner - Physical Therapist in Private Practice 4183075724 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Health Medical Group IncGroup PAC ID 9537059084, 2,171 clinicians

Practice addresses (Care Compare)

1341 Orange Ave
Winter Park, FL 32789-4909
Phone (407) 206-4500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT25445FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Nov 1, 2023 Accepting new patients
Orlando Health Medical Group Inc CurrentSince Nov 1, 2023 Accepting new patients

Locations

1301 Sligh Blvd
Orlando, FL 32806
Phone (407) 649-6888

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

1341 Orange Ave
Winter Park, FL 32789
Phone (407) 691-7687

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1309824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1194012690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1341 ORANGE AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894909",
            "telephone_number": "407-691-7687",
            "fax_number": "407-691-7697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1341 ORANGE AVE",
            "city": "WINTER PARK",
            "state": "FL",
            "postal_code": "327894909",
            "telephone_number": "407-691-7687",
            "fax_number": "407-691-7697"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1301 Sligh Blvd",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328063901",
            "country_code": "US",
            "telephone_number": "407-649-6888",
            "fax_number": "407-246-0135",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCORDATO",
        "first_name": "COLLEEN",
        "credential": "DPT, MDT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-05",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT25445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winter Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.