Kelly Colegrove, | |
1138 Farmington Ave, Berlin, CT 06037-2242 | |
(860) 829-5511 | |
Not Available |
Full Name | Kelly Colegrove |
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Gender | Female |
Speciality | Physical Therapist |
Location | 1138 Farmington Ave, Berlin, Connecticut |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1922705508 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
225100000X | Physical Therapist | 012072 (Connecticut) | Primary |
Provider Name | Focus Physical Therapy & Sports Medicine Llc |
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Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
Provider Identifiers | NPI Number: 1780868505 PECOS PAC ID: 6800970500 Enrollment ID: O20080219000587 |
Mailing Address | Practice Location Address |
---|---|
Kelly Colegrove, Po Box 452, Berlin, CT 06037-0452 Ph: (860) 829-5511 | Kelly Colegrove, 1138 Farmington Ave, Berlin, CT 06037-2242 Ph: (860) 829-5511 |
David Reindl, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1138 Farmington Ave, Berlin, CT 06037 Phone: 860-829-5511 | |
Central Ct Physical Medicine Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Massirio Dr, Berlin, CT 06037 Phone: 860-829-1300 Fax: 860-829-1388 | |
Mr. Leonard Pare, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 15 Massirio Dr, Berlin, CT 06037 Phone: 860-829-1300 Fax: 860-829-1388 | |
Olivia Tubis, Physical Therapist Medicare: Medicare Enrolled Practice Location: 1138 Farmington Ave, Berlin, CT 06037 Phone: 860-829-5511 | |
Kari Anne Callahan, MPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1138 Farmington Ave, Berlin, CT 06037 Phone: 860-829-5511 Fax: 860-829-5577 | |
Dallas Peery, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 1138 Farmington Ave, Berlin, CT 06037 Phone: 860-829-5511 | |
Jonathan Maneen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 598 Deming Rd, Berlin, CT 06037 Phone: 203-601-7446 |