Individual provider Active NPI

Colleen M Leonhard, MSPT

  • Physical Therapist
  • Orange, CT
National Provider Identifier
1407996184
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008262 Issued in CT
Practice address
400 Boston Post Rd
Orange, CT 06477-3545
Phone
(203) 799-3343
Fax
(203) 517-0604
NPI assigned
Feb 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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 008262 CT Primary

Addresses

Primary practice location

400 Boston Post Rd
Orange, CT 06477-3545

Mailing address

400 Boston Post Rd
Orange, CT 06477-3545
Phone (203) 799-3343

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080326000485 CT Practitioner - Physical Therapist in Private Practice 2264535467 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ronai Physical Therapy and Sports Medicine LLCGroup PAC ID 1951644418, 7 clinicians

Practice addresses (Care Compare)

400 Boston Post Rd
Orange, CT 06477-3545
Phone (203) 799-3343

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
008262CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ronai Physical Therapy & Sports Medicine, LLC Physical Therapist CurrentSince Jun 28, 2021 Accepting new patients
Integrated Rehabilitation Services Limited Partnership Physical Therapist Past Accepting new patients
Integrated Rehabilitation Services, LLC Physical Therapist PastSince Sep 15, 2014 Accepting new patients

Locations

400 Boston Post Rd
Ste 2M
Orange, CT 06477

400 Boston Post Rd
Orange, CT 06477
Phone (203) 799-3343

Organizations & group practices 3

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": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1407996184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773545",
            "telephone_number": "203-799-3343",
            "fax_number": "203-517-0604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773545",
            "telephone_number": "203-799-3343",
            "fax_number": "203-517-0604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEONHARD",
        "first_name": "COLLEEN",
        "middle_name": "M",
        "credential": "MSPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "008262",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange, CT

Sources for this page

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