BLACK ROCK PHYSICAL THERAPY
NPI 1063650901
Clinic/Center - Physical Therapy in Bridgeport, CT
About Black Rock Physical Therapy NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLACK ROCK PHYSICAL THERAPY (NPI 1063650901), doing business as Tlcpt, is a healthcare organization registered as a physical therapy in Bridgeport, Connecticut and active in the NPI registry since January 2009. The organization lists Tara Lynn Collins, Physical Therapist/owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Black Rock Physical Therapy is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Black Rock Physical Therapy, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Black Rock Physical Therapy's NPI number?
The NPI number for Black Rock Physical Therapy is 1063650901. It was assigned to this organization in the NPPES registry on January 30, 2009. The provider was formerly known as Tlcpt.
Where is Black Rock Physical Therapy located?
Black Rock Physical Therapy is located at 2889 Fairfield Ave, Bridgeport, CT 06605. The listed phone number is (203) 335-1987.
What is Black Rock Physical Therapy's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Black Rock Physical Therapy enrolled in Medicare?
Yes. Black Rock Physical Therapy is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Black Rock Physical Therapy?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Black Rock Physical Therapy. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Black Rock Physical Therapy was last updated on May 3, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Black Rock Physical Therapy · NPI 1063650901
Physical Therapy organization in Bridgeport, Connecticut. Organization record, active in the CMS NPPES registry since January 30, 2009.
## Identity
- **NPI:** 1063650901 (Entity type: Organization)
- **Enumerated:** January 30, 2009
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Tara Collins, PHYSICAL THERAPIST/OWNER
## Practice location
- **Address:** 2889 FAIRFIELD AVE, Bridgeport, CT 06605-3211
- **Phone:** (203) 335-1987 · **Fax:** (203) 549-0725
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 1 clinician (Physical Therapist in Private Practice) reassigns Medicare billing to this organization (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 3, 2018
- **Other identifiers:** Other D100000150 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1063650901) · Data from the CMS NPPES public registry.