Active NPI
Bianca Lynn Halak, DPT
- Physical Therapist
- Newtown, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12965
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 12965 | CT | MD | Clinical Social Worker |
| 15723 | NC | MD | Physical Therapist |
| 2305207207 | VA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ptsma, Inc. | Physical Therapist | Current | Accepting new patients |
| Ptsma Inc | Current | Accepting new patients | |
| Ptsma, Inc. | Physical Therapist | Current | Accepting new patients |
| Benjamin Seeman DO LLC | Past | Accepting new patients | |
| Feel Better Global LLC | Past | 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.
-
- Physical Therapy Clinic/Center
- Manchester, CT
- NPI 1619393337
-
- Interventional Pain Medicine Physician
- Richmond, VA
- NPI 1609012905
-
- Physical Therapist
- Gastonia, NC
- NPI 1407932775
-
- Durable Medical Equipment & Medical Supplies
- Richmond, VA
- NPI 1760209621
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.