Colleen Hetrick

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

070021755 Issued in IL

Practice address

6849 Old Dominion Dr Ste 330
MC Lean, VA 22101

Phone

(703) 848-9333

NPI assigned

Aug 25, 2015

Sex

Female

Sole proprietor

No

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 DC

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Group practices

Pro Motion Physical Therapy, LLCGroup PAC ID 3971402348, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Pro Motion Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • McLean, VA
  • NPI 1639292295

  DC

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1440460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572998400000",
    "number": "1649647660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6849 OLD DOMINION DR STE 330",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "221013791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6849 OLD DOMINION DR STE 330",
            "city": "MC LEAN",
            "state": "VA",
            "postal_code": "22101",
            "telephone_number": "703-848-9333"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "990 Elk Grove Town Ctr",
            "address_purpose": "LOCATION",
            "city": "Elk Grove Village",
            "state": "IL",
            "postal_code": "600073754",
            "country_code": "US",
            "telephone_number": "847-290-1111",
            "fax_number": "847-290-1065",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HETRICK",
        "first_name": "COLLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-25",
        "last_updated": "2019-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IL",
            "license": "070021755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Javier Alberto Hernandez
• Colin Herndon
• William Ryan Herr, DPT
• James Fernando Herrera, M.D.
• Nadia Peritsalis Herrera, PA
• Triston Hewitt
• HH Reconstructive Surgery LLC
• Gina Ellen Hiatt, PH.D.
• Kim Hiday
• High Rise Mental Health PC

• Physical Therapist in MC Lean, VA
• Providers in MC Lean, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2019; 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.