Colleen Thomas, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0183891 Issued in NY

Practice address

3920 Veterans Memorial Hwy
Suite 13
Bohemia, NY 11716-1074

Phone

(631) 630-6485

Fax

(631) 630-6486

NPI assigned

Feb 9, 2006

Last updated

Nov 19, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Proactive Care Physical Therapy, PCGroup PAC ID 9133276058, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• Proactive Care Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Bohemia, NY
  • NPI 1528210390
  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1139443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637280000000",
    "number": "1306819487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3920 VETERANS MEMORIAL HWY",
            "address_2": "SUITE 13",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117161074",
            "telephone_number": "631-630-6485",
            "fax_number": "631-630-6486"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3920 VETERANS MEMORIAL HWY",
            "address_2": "SUITE 13",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117161074",
            "telephone_number": "631-630-6485",
            "fax_number": "631-630-6486"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMAS",
        "first_name": "COLLEEN",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-09",
        "last_updated": "2021-11-19",
        "certification_date": "2021-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0183891",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Taman
• Katrina Temps
• Donna L Terrusalpn, LPN
• Sabrina Marie Terwilliger, DPT
• The Way Forward Mental Health Counseling PLLC
• Maria Adrianna Tilton
• Frederick Tinari, DC
• Annemarie Tocco
• Samantha Torregrossa, LPN
• True North Medical Group PC (Orlin & Cohen Medical Specialists Group)

• Physical Therapist in Bohemia, NY
• Providers in Bohemia, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2021; 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.