Individual provider Active NPI

Bianca Lynn Halak, DPT

  • Physical Therapist
  • Newtown, CT
National Provider Identifier
1255617494
Registry record updated Apr 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12965 Issued in CT
Practice address
12 Queen St
Newtown, CT 06470-2158
Phone
(203) 426-0004
NPI assigned
Nov 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15723 NC
Physical Therapist 225100000X 2305207207 VA
Physical Therapist 225100000X 12965 CT Primary

Addresses

Primary practice location

12 Queen St
Newtown, CT 06470-2158

Mailing address

12 Queen St
Newtown, CT 06470-2158
Phone (203) 426-0004

Other practice location 1

6900 Forest Ave
Suite 310
Richmond, VA 23230-1729
Phone (804) 249-8888

Other practice location 2

237 Mt Holly Huntersville Rd Ste 140
Charlotte, NC 28214-9314
Phone (704) 954-8959

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250421000628 CT Practitioner - Physical Therapist in Private Practice 1456526300 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ptsma IncGroup PAC ID 7911800180, 173 clinicians

Practice addresses (Care Compare)

12 Queen St
Newtown, CT 06470-2158
Phone (203) 426-0004

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12965CTMDClinical Social Worker
15723NCMDPhysical Therapist
2305207207VAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ptsma, Inc. Physical Therapist Current Accepting new patients
Ptsma Inc CurrentSince Apr 1, 2025 Accepting new patients
Ptsma, Inc. Physical Therapist CurrentSince Apr 1, 2025 Accepting new patients
Benjamin Seeman DO LLC PastSince Jan 1, 2010 Accepting new patients
Feel Better Global LLC PastSince Sep 29, 2024 Accepting new patients
Comprehab LLC Physical Therapist Past Accepting new patients

Locations

12 Queen St
Newtown, CT 06470
Phone (203) 232-7711

37 S Broad St
Ste 12
Pawcatuck, CT 06379
Phone (860) 495-1919

Organizations & group practices 6

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": "1320192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744070400000",
    "number": "1255617494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12 QUEEN ST",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064702158",
            "telephone_number": "203-426-0004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12 QUEEN ST",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064702158",
            "telephone_number": "203-426-0004"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6900 Forest Ave",
            "address_2": "Suite 310",
            "address_purpose": "LOCATION",
            "city": "Richmond",
            "state": "VA",
            "postal_code": "232301729",
            "country_code": "US",
            "telephone_number": "804-249-8888",
            "fax_number": "804-249-7246",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "237 Mt Holly Huntersville Rd Ste 140",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282149314",
            "country_code": "US",
            "telephone_number": "704-954-8959",
            "fax_number": "704-830-2138",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALAK",
        "first_name": "BIANCA",
        "middle_name": "LYNN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-02",
        "last_updated": "2025-04-08",
        "certification_date": "2025-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "15723",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305207207",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "12965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newtown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.

Verify at the official NPI Registry.