Active NPI
Jennifer Colonna, PT
- Physical Therapist
- Chesterfield, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501301985
- Practice address
- 32155 23 Mile Rd
Chesterfield, MI 48047-1986 - Phone
- (586) 713-5590
- NPI assigned
- Nov 28, 2022
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501301985 | MI | Primary |
Addresses
Primary practice location
32155 23 Mile Rd
Chesterfield, MI 48047-1986
Mailing address
1773 Star Batt Dr
Rochester Hills, MI 48309-3708
Phone (248) 601-9207
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221215003027 | MI | Practitioner - Physical Therapist in Private Practice | 3274902168 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- University of Michigan Medical School, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- CKS of Mt Clemens LLC
Practice addresses (Care Compare)
21550 Harrington St
Clinton Township, MI 48036-2362
Phone (586) 783-7590
32155 23 Mile Rd
Chesterfield, MI 48047-1986
Phone (586) 713-5590
35449 23 Mile Rd
New Baltimore, MI 48047-3601
Phone (586) 436-3900
Merit-based Incentive Payment System (MIPS)
- Final score
- 75.73 of 100
- Quality
- 81.02
- Improvement activities
- 40
- Cost
- 53.9
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5501301985 | MI | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HQ of Chesterfield LLC | Physical Therapist | Current | Accepting new patients |
| CKS of Mt Clemens LLC | Physical Therapist | Current | Accepting new patients |
Locations
32155 23 Mile Rd
Chesterfield, MI 48047
Phone (248) 788-6100
21550 Harrington St
Ste D
Clinton Twp, MI 48036
Phone (586) 783-7590
1773 Star Batt Dr
Rochester Hills, MI 48309
Phone (248) 650-4720
Organizations & group practices 2
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.
-
- Physical Therapy Clinic/Center
- Mount Clemens, MI
- NPI 1619172673
MI, Physical Therapist
-
- Physical Therapy Clinic/Center
- Chesterfield, MI
- NPI 1649643479
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1669593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1669593600000",
"number": "1750091062",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1773 STAR BATT DR",
"city": "ROCHESTER HILLS",
"state": "MI",
"postal_code": "483093708",
"telephone_number": "248-601-9207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "32155 23 MILE RD",
"city": "CHESTERFIELD",
"state": "MI",
"postal_code": "480471986",
"telephone_number": "586-713-5590"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLONNA",
"first_name": "JENNIFER",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-28",
"last_updated": "2022-11-28",
"certification_date": "2022-11-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501301985",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chesterfield, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.