Individual provider Active NPI

Colleen Smith

  • Physical Therapist
  • East Stroudsburg, PA
National Provider Identifier
1720633936
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT028042 Issued in PA
Practice address
600 Plaza CT Ste a
East Stroudsburg, PA 18301-8263
Phone
(570) 517-0511
Fax
(570) 517-0257
NPI assigned
Aug 5, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT028042 PA Primary

Addresses

Primary practice location

600 Plaza CT Ste a
East Stroudsburg, PA 18301-8263

Mailing address

600 Plaza CT Ste a
East Stroudsburg, PA 18301-8263
Phone (570) 517-0511

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190904000503 PA Practitioner - Physical Therapist in Private Practice 0749519551 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
86.08 of 100Reported as group
Quality
76.48
Promoting interoperability
100
Improvement activities
40
Cost
77.12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Medical Services CurrentSince Sep 12, 2023 Accepting new patients
Mountain Valley Orthopedics, P.C. Physical Therapist CurrentSince May 13, 2024 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist Current Accepting new patients
Pinnacle Health Medical Services Current Accepting new patients
Pocono Advanced Medical Clinic PC CurrentSince Jan 10, 2026 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Jan 25, 2021 Accepting new patients
Drayer Physical Therapy Institute LLC Physical Therapist CurrentSince Jan 25, 2021 Accepting new patients
Pinnacle Health Medical Services CurrentSince Sep 12, 2023 Accepting new patients
Procare Physical Therapy Inc Physical Therapist PastSince Aug 11, 2019 Accepting new patients
Body Dynamic Physical Therapist PastSince Feb 2, 2023 Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

1609 State Rd
Ste 107
Duncannon, PA 17020
Phone (717) 853-2070

600 Plaza Ct
Ste C
East Stroudsburg, PA 18301
Phone (570) 421-7020

600 Plaza Ct
Ste A
East Stroudsburg, PA 18301
Phone (570) 517-0511

3771 Peters Mountain Rd
Halifax, PA 17032
Phone (717) 896-7612

2501 N 3rd St
Fl 2
Harrisburg, PA 17110
Phone (717) 782-2100

820 Sir Thomas Ct
Harrisburg, PA 17109
Phone (717) 724-4870

152 E Market St
Ste 200
Lewistown, PA 17044
Phone (717) 242-4840

100 Wheatfield Dr
Ste 1
Milford, PA 18337
Phone (570) 296-5911

Organizations & group practices 11

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.

NPI Registry JSON

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

{
    "created_epoch": "1564963200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1720633936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 PLAZA CT STE A",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018263",
            "telephone_number": "570-517-0511",
            "fax_number": "570-517-0257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 PLAZA CT STE A",
            "city": "EAST STROUDSBURG",
            "state": "PA",
            "postal_code": "183018263",
            "telephone_number": "570-517-0511",
            "fax_number": "570-517-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SMITH",
        "first_name": "COLLEEN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-05",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT028042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Stroudsburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.