Colleen Mary Bennett, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

027412 Issued in NY

Practice address

196 Birch Hill Rd
Locust Valley, NY 11560-1832

Phone

(516) 759-9717

Fax

(516) 759-1666

NPI assigned

Mar 7, 2007

Last updated

Oct 3, 2024By the provider in NPPES

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

Enrolled in NY

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Beach Wellness Physical Therapy, LLCGroup PAC ID 8325482953, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Beach Wellness Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Long Beach, NY
  • NPI 1396523585

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Soundside Physical Therapy P.C.

  • Physical Therapist
  • Locust Valley, NY
  • NPI 1679679419
  NPD (past)
• Connecticut Soundside Physical Therapy Homecare, PC

  • Physical Therapy Clinic/Center
  • Manchester, CT
  • NPI 1043436488
  NPD (past)

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

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727913600000",
    "number": "1578694279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "421 GRAND BLVD",
            "city": "LONG BEACH",
            "state": "NY",
            "postal_code": "115611710",
            "telephone_number": "516-972-7766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 BIRCH HILL RD",
            "city": "LOCUST VALLEY",
            "state": "NY",
            "postal_code": "115601832",
            "telephone_number": "516-759-9717",
            "fax_number": "516-759-1666"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BENNETT",
        "first_name": "COLLEEN",
        "middle_name": "MARY",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-07",
        "last_updated": "2024-10-03",
        "certification_date": "2024-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027412-01",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "027412",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heather Ann Barber, OSC
• Patricia Ann Barker
• Joyce M Bartolomeo, ANP
• Maricon Bas, N.P.
• Carly Bayer, PA
• Daniella Bivona, MASSAGE THERAPIST
• Breathe Physical Therapy PLLC
• Barbara J Brown, ED.D
• Robert T Burns III, LCSW
• Summer Butindari, LMT

• Physical Therapist in Locust Valley, NY
• Providers in Locust Valley, 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 Oct 3, 2024; 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.