Colleen Mae Walsh, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

5006 Veterans Hwy
Holbrook, NY 11741-4514

Phone

(631) 416-6926

NPI assigned

Sep 6, 2019

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Max Effort Physical Therapy, PC

  • Physical Therapist
  • Holbrook, NY
  • NPI 1962828913
  NPD

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

{
    "created_epoch": "1567728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567728000000",
    "number": "1508415001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 JEFFERSON ST",
            "city": "EAST ISLIP",
            "state": "NY",
            "postal_code": "117301809",
            "telephone_number": "631-495-6908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5006 VETERANS HWY",
            "city": "HOLBROOK",
            "state": "NY",
            "postal_code": "117414514",
            "telephone_number": "631-416-6926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALSH",
        "first_name": "COLLEEN",
        "middle_name": "MAE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-06",
        "last_updated": "2019-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Vamos, Nurse Practitioner in Family Health, P.C.
• Sarah Vignola, DDS
• Debra Ann Vitella, M.A. CCC SLP
• Jennifer Danielle Waldron, LPN
• Inderpal S Walia, MSED
• Warby Parker Inc.
• Waves Psychotherapy Group LCSW P.C.
• Preston Scott Waxenbaum, RPH
• Elizabeth Weinbaum, LCSW-R
• Geoffrey Weisman, M.D., PLLC

• Physical Therapist in Holbrook, NY
• Providers in Holbrook, 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 Sep 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.