COLLEEN DAVIS – Physical Therapist, NPI 1770149353

COLLEEN DAVIS is a healthcare provider. based in Waterford, Connecticut. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 14.007864 (CT). The NPI Number for COLLEEN DAVIS is 1770149353

Main info

Female
Sole Proprietor
15 Years Of Experience
Name
COLLEEN DAVIS
NPI
1770149353
Phone
(860) 572-6657
Address
132 CROSS RD
Enumeration Date
19 May 2019
Last Update Date
19 May 2019

Doctor Profile

Medical School Name
DES MOINES UNIVERSITY OF OSTEOPATHIC MEDICINE AND HEALTH SCIENCES
Secondary Phone
8605726657
Graduation Year
2011 (15 years ago)
PAC ID
6305284563
Group Practice PAC ID
5496193658
Professional Enrollment ID
I20240406000020
Address ID
CT063351541GA1666X12XX301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:7State licenses:1Digital endpointsOther names

1,335 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CT

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Provider Addresses for COLLEEN DAVIS

  • 132, Cross Road, Waterford, New London County, Connecticut, 06385, United States

    WATERFORD, CT 063851204

    Phone: (860) 572-6657

    Type: Location

  • 7 RAMBLEWOOD DR

    GALES FERRY, CT 063351640

    Phone: (860) 572-6647

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-04-06

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20240406000020IPhysical Therapist In Private PracticeCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06385)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 5496193658View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeMA
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeRI

Reviews

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Frequently asked questions

What is the 10-digit NPI for COLLEEN DAVIS?
COLLEEN DAVIS — NPI 1770149353 — is the standard way to identify this listing.
Does CMS list COLLEEN DAVIS as active?
Yes — COLLEEN DAVIS is active in the NPI listing used on this page.
What is COLLEEN DAVIS's specialty?
The listing groups COLLEEN DAVIS with Physical Therapist. Clinical services aligned with this taxonomy classification.
What address line appears for COLLEEN DAVIS?
COLLEEN DAVIS's geographic hint is Waterford, Connecticut in our summary view.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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