Individual provider Active NPI

Jennifer Ann Colwill, PT

  • Physical Therapist
  • Glenmont, NY
National Provider Identifier
1235100488
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0214951 Issued in NY
Practice address
365 Feura Bush Rd & 9W
Glenmont, NY 12077-2983
Phone
(518) 436-3954
Fax
(518) 436-4257
NPI assigned
Jan 27, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 0214951 NY Primary

Addresses

Primary practice location

365 Feura Bush Rd & 9W
Glenmont, NY 12077-2983

Mailing address

365 Feura Bush Rd & 9W
Glenmont, NY 12077-2983
Phone (518) 436-3954

Other identifiers 11

IdentifierTypeStateIssuer
7950316OtherPPO POS
363485OtherMVP
4651OtherCDPHP GROUP
QM0182OtherEMPIRE BCBS CATSKILL
000499688002OtherBSNENY CATSKILL CROSSLINK
QM018OtherEMPIRE BCBS BETHLEHEM
000499688001OtherBSNENY BETHLEHEM CROSSLIN
10058674OtherCDPHP
2720216OtherHMO GLENMONT
00996882OtherBS NENY CATSKILL BILLING
2720219OtherHMO CATSKILL

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

State licenses

LicenseStateTypeSpecialty
0214951NYMDPhysical Therapist
021495NYMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Nick Valenze Physical Therapist 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": "1138320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1235100488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "365 FEURA BUSH RD & 9W",
            "city": "GLENMONT",
            "state": "NY",
            "postal_code": "120772983",
            "telephone_number": "518-436-3954",
            "fax_number": "518-436-4257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "365 FEURA BUSH RD & 9W",
            "city": "GLENMONT",
            "state": "NY",
            "postal_code": "120772983",
            "telephone_number": "518-436-3954",
            "fax_number": "518-436-4257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COLWILL",
        "first_name": "JENNIFER",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0214951",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PPO POS",
            "identifier": "7950316",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MVP",
            "identifier": "363485",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP GROUP",
            "identifier": "4651",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS CATSKILL",
            "identifier": "QM0182",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSNENY CATSKILL CROSSLINK",
            "identifier": "000499688002",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE BCBS BETHLEHEM",
            "identifier": "QM018",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSNENY BETHLEHEM CROSSLIN",
            "identifier": "000499688001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CDPHP",
            "identifier": "10058674",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO GLENMONT",
            "identifier": "2720216",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS NENY CATSKILL BILLING",
            "identifier": "00996882",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMO CATSKILL",
            "identifier": "2720219",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glenmont, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.