Active NPI
Colleen D Barrett, PHYSICAL THERAPIST
- Physical Therapist
- Winter Park, FL
National Provider Identifier
1710145990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 23909
- Practice address
- 2075 Loch Lomond Dr
Winter Park, FL 32792-4183 - Phone
- (407) 628-5418
- NPI assigned
- May 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 23909 | FL | Primary |
| Physical Therapist | 225100000X | 070.014319 | IL |
Addresses
Primary practice location
2075 Loch Lomond Dr
Winter Park, FL 32792-4183
Mailing address
3103 United Kingdom Cir
Apt 2909
Winter Park, FL 32792-5682
Phone (773) 322-5357
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23909 | FL | MD | Physical Therapist |
| 070.014319 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1211587200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211587200000",
"number": "1710145990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3103 UNITED KINGDOM CIR",
"address_2": "APT 2909",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327925682",
"telephone_number": "773-322-5357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2075 LOCH LOMOND DR",
"city": "WINTER PARK",
"state": "FL",
"postal_code": "327924183",
"telephone_number": "407-628-5418"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARRETT",
"first_name": "COLLEEN",
"middle_name": "D",
"name_prefix": "Miss",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-24",
"last_updated": "2008-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "23909",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070.014319",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Winter Park, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.