Colleen Petridis, DPT
Physical Therapist in New Milford, Connecticut
1164900247- Practice location
- 43 Main St Unit H, New Milford, CT 06776-2807
- Phone
- 860-946-0710
- Fax
- 860-946-0711
- Last updated
- January 17, 2024
Colleen Petridis is a Physical Therapist based in New Milford, CT. Colleen Petridis practices in New Milford, CT and has the professional credentials of DPT. The NPI Number for Colleen Petridis is 1164900247 and holds a License No. 11906 (CT). The current practice location address for Colleen Petridis is 43 Main St Unit H, New Milford, CT 06776-2807 and can be reached out via phone at 860-946-0710 and via fax at 860-946-0711.
Provider Profile Details
- NPI Number
- 1164900247
- Provider Name
- Colleen Petridis
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 43 Main St Unit H, New Milford, CT 06776-2807
- Phone Number
- 860-946-0710
- Fax Number
- 860-946-0711
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Other Names
- Colleen Menard (Former Name)
- Provider Enumeration Date
- August 1, 2018
- Last Update Date
- January 17, 2024
- Certification Date
- January 17, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 43 Main St Unit H
New Milford, CT 06776-2807 - City
- New Milford
- State
- Connecticut
- Zip
- 06776-2807
- Phone Number
- 860-946-0710
- Fax Number
- 860-946-0711
Provider Business Mailing Address Details
- Address
- 47 N Main St
West Hartford, CT 06107-1926 - City
- West Hartford
- State
- CT
- Zip
- 06107-1926
- Phone Number
- 860-409-4595
- Fax Number
- 860-409-4860
License Information
- License Number
- 11906
- License State
- CT
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Colleen Petridis, DPT?
The NPI number of Colleen Petridis, DPT is 1164900247. It was assigned on August 1, 2018 and is currently active in the NPPES registry.
What is the specialty of Colleen Petridis, DPT?
Colleen Petridis, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 11906.
Where does Colleen Petridis, DPT practice?
The practice location is 43 Main St Unit H, New Milford, CT 06776-2807. The office can be reached at 860-946-0710 (phone) or 860-946-0711 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1164900247 directly on the NPPES registry website.