Individual provider Active NPI

Jennifer Colonna, PT

  • Physical Therapist
  • Chesterfield, MI
National Provider Identifier
1750091062
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5501301985 Issued in MI
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

Updated by the provider on Nov 28, 2022

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 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 IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 0446321038, 17 clinicians

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 100Reported as group
Quality
81.02
Improvement activities
40
Cost
53.9

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501301985MIMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
HQ of Chesterfield LLC Physical Therapist CurrentSince Dec 6, 2022 Accepting new patients
CKS of Mt Clemens LLC Physical Therapist CurrentSince Dec 2, 2022 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.

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.

Verify at the official NPI Registry.