Brianna Margaret Hanlon, PT, DPT

Individual provider Active NPI Orthopedic Physical Therapist · Collinsville, CT

NPI 1689559486 · NPPES record last updated Aug 11, 2025

Key facts

NPI
1689559486
Entity type
Individual (NPI type 1)
Primary specialty
Orthopedic Physical Therapist 2251X0800X
License
15058 (CT)
Practice address
61 Maple Ave Ste 2
Collinsville, CT 06019-3058
Phone
(860) 352-2463
Fax
(860) 679-0431
NPI assigned
Aug 11, 2025
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare Care Compare profile

Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Magna Physical Therapy and Golf Medicine Center, LLC (6 clinicians)

Practice addresses (Care Compare)

302 W Main St
Suite 204
Avon, CT 06001-4306
Phone (860) 679-0430

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CT

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20250819003869 CT Practitioner - Physical Therapist in Private Practice 6305345919 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
15058CTMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Magna Physical Therapy & Golf Medicine Center, LLC Current
since Aug 7, 2025
Accepting new patients

Locations

302 W Main St
Ste 204
Avon, CT 06001
Phone (860) 679-0430

61 Maple Ave
Ste 2
Collinsville, CT 06019
Phone (860) 352-2463

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 15058 CT Yes

Addresses

Primary practice location

61 Maple Ave Ste 2
Collinsville, CT 06019-3058

Mailing address

61 Maple Ave Ste 2
Collinsville, CT 06019-3058
Phone (860) 352-2463

Other practice location 1

302 W Main St Ste 204
Avon, CT 06001-3681
Phone (860) 679-0430

Other providers in Collinsville, CT

All providers in Collinsville, CT · Orthopedic Physical Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.