Colleen Marie Henn, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

005478-1 Issued in NY

Practice address

2455 Union Blvd Apt 1a
Islip, NY 11751-3146

Phone

(516) 362-7472

NPI assigned

Jan 7, 2013

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

Other names 1

• Miss Colleen Marie Henn Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1357516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357516800000",
    "number": "1326385691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2455 UNION BLVD APT 1A",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513146",
            "telephone_number": "516-362-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2455 UNION BLVD APT 1A",
            "city": "ISLIP",
            "state": "NY",
            "postal_code": "117513146",
            "telephone_number": "516-362-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENN",
        "first_name": "COLLEEN",
        "middle_name": "MARIE",
        "name_prefix": "Miss",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-07",
        "last_updated": "2013-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "005478-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "COLLEEN",
            "last_name": "HENN",
            "middle_name": "MARIE",
            "prefix": "MISS",
            "credential": "PTA",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Bella Harrold
• Lynn Havel-Bruno, MS
• Ashley Lauren Healy
• Theresa Heaney
• Robin Frances Heaslip, RN
• Chloe E Herzog, MA CF-SLP TSSLD
• Karin Monica Hipp
• Elizabeth Kate Hogan, ANP
• Bruce Matthew Hormann, PA
• Shally K Huh, ACUPUNCTURIST

• Physical Therapy Assistant in Islip, NY
• Providers in Islip, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.