Colleen Moosman, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1023 Issued in CT

Practice address

2432 Albany Ave
West Hartford, CT 06117-2503

Phone

(860) 236-3557

NPI assigned

Jul 7, 2009

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1246924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1720217185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6920 OAKHURST ST",
            "city": "CENTRAL POINT",
            "state": "OR",
            "postal_code": "975023428",
            "telephone_number": "541-941-2995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2432 ALBANY AVE",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061172503",
            "telephone_number": "860-236-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOOSMAN",
        "first_name": "COLLEEN",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-07",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CT",
            "license": "1023",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "OR",
            "license": "8309",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Margaret Holland Monos
• Denise Anne Monte, M.S
• Moonah Inc
• Marybeth Aucoin Moore, PA-C, MPH
• Pamela A Moore, DMD
• Alyssa Rose Morabito, BA
• Kimberly A Morales, LCSW
• Morea Psychological Services
• Mabedia Moreno, FNP
• Fern Morey

• Physical Therapy Assistant in West Hartford, CT
• Providers in West Hartford, CT by specialty
• Physical Therapy Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.