COLLEEN DAVIS
NPI 1770149353
Physical Therapist in Waterford, CT

Active since May 19, 2019
132 CROSS RD, WATERFORD, CT 06385(860) 572-6657 Get Directions Write a Review

NPPES record last updated: May 19, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Colleen Davis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COLLEEN DAVIS (NPI 1770149353) is an individual physical therapist in Waterford, Connecticut, licensed in Connecticut (14.007864) and active in the NPI registry since May 2019. She is a graduate of Des Moines University Of Osteopathic Medicine And Health Sciences (2011).

NPPES Registry Identity

NPI1770149353
Entity TypeIndividualFemale
Primary Taxonomy225100000X
Provider Legal NameCOLLEEN DAVIS
Location Address132 CROSS RDWaterford, CT 06385-1204
Mailing Address7 Ramblewood DrGales Ferry, CT 06335-1640 · (860) 572-6647
Sole ProprietorYes
Medical School CMSDes Moines University Of Osteopathic Medicine And Health SciencesGraduated 2011
Enumeration DateMay 19, 2019
✔ NPI 1770149353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
License✔ Licensed in CT · 14.007864
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
132 CROSS RD, Waterford, CT 06385

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Colleen Davis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6305284563
PECOS Enrollment IDI20240406000020

Medicare Billing Reassignment

Medicare enrollment records show Colleen Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapy
132 CROSS RD
Waterford, CT 06385
  • Reassigned Medicare billing, Connecticut enrollment
  • 6 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Physical Therapy)
132 CROSS RD
WATERFORD, CT 06385
Clinic/Center (Physical Therapy)
132 CROSS RD
WATERFORD, CT 06385

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 Colleen Davis's NPI number?

The NPI number for Colleen Davis is 1770149353. It was assigned to this individual provider in the NPPES registry on May 19, 2019.

Where is Colleen Davis located?

Colleen Davis practices at 132 Cross Rd, Waterford, CT 06385. The listed phone number is (860) 572-6657.

What is Colleen Davis's specialty?

The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.

Is Colleen Davis enrolled in Medicare?

Yes. Colleen Davis is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Colleen Davis's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Colleen Davis reassigns Medicare benefits to Goat Physical Therapy And Wellness LLC (Waterford, CT). The 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 Colleen Davis's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Colleen Davis was last updated on May 19, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.