MRS. COLLEEN B. WEITEKAMP (NPI# 1417997628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417997628 |
| Entity Type | Individual |
| Full Name | MRS. COLLEEN B. WEITEKAMP |
| Other Name | MS. COLLEEN B. MCPIKE |
| Credential | P.T. |
| Practice Address |
31 Old Route 7 Brookfield CT 06804-1714 |
| Practice Telephone | 2037400020 |
| Practice Fax Number | 2037750238 |
| Mailing Telephone | 2037400020 |
| Mailing Fax Number | 2037750238 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2014-02-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
006609 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 021239-1 | 05 |
| Street Address |
31 OLD ROUTE 7 |
| City | BROOKFIELD |
| State | CT |
| Zip Code | 06804-1714 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124011457 | Larry Stephen Wasser | Internal Medicine | 31 Old Route 7, Ste 1a, Brookfield, CT 06804-1714 | 2005-08-23 |
| 1588262398 | Brooke Pawlak | Physical Therapist | 31 Old Route 7, Brookfield, CT 06804-1711 | 2020-10-14 |
| 1194204644 | Amara Primary Care LLC | Family Medicine | 31 Old Route 7, Brookfield, CT 06804-1711 | 2018-08-07 |
| 1992231880 | Siem Brinn | Massage Therapist | 31 Old Route 7, Brookfield, CT 06804-1711 | 2017-05-11 |
| 1487188892 | Edinam Akwasi Cudjoe | General Acute Care Hospital | 31 Old Route 7, Brookfield, CT 06804-1711 | 2017-04-13 |
| 1154866879 | Urgent Care Medical of New York, LLC | Clinic/Center | 31 Old Route 7, Brookfield, CT 06804-1711 | 2017-01-04 |
| 1336519537 | Urgent Care of Waterbury, LLC | Clinic/Center | 31 Old Route 7, Brookfield, CT 06804-1711 | 2015-09-30 |
| 1043651003 | Kimberly Carr | Nurse Practitioner | 31 Old Route 7, Brookfield, CT 06804-1711 | 2013-07-07 |
| 1790129039 | Orthoconnecticut, PC | Orthopaedic Surgery | 31 Old Route 7, Brookfield, CT 06804-1711 | 2013-04-17 |
| 1538415286 | Bruce Kistopher Roff | Acupuncturist | 31 Old Route 7, Brookfield, CT 06804-1711 | 2012-07-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306366620 | Tara Hanlon | Nurse Practitioner | 14 Shamrock Drive, Brookfield, CT 06804 | 2017-06-27 |
| 1558804617 | Total Assurance Home Healthcare | Respite Care | 6 Oak Branch Dr, Brookfield, CT 06804 | 2016-11-22 |
| 1154878619 | Regional Young Men's Christian Association of Western Connecticut, Inc | Health Educator | 241 Federal Road, Unit B21, Brookfield, CT 06804 | 2016-09-01 |
| 1285048330 | Altagracia Trinidad | Counselor | 40 Laurel Hill Rd Unit 308, Brookfield, CT 06804 | 2014-06-17 |
| 1619380276 | Benjamin Burke Clippinger | Orthopaedic Surgery | Greenknoll Professional Center, 60 Old New Milford Road, Suite 3e, Brookfield, CT 06804 | 2014-06-11 |
| 1801140371 | Christina M Muggeo | Physical Therapist | 60 Old New Milford Rd Ste 3a, Brookfield, CT 06804 | 2012-11-05 |
| 1952549099 | Joan P Draper | Ophthalmology | 17 Cove Rd, Brookfield, CT 06804 | 2009-01-28 |
| 1588822035 | Jillian Delorme | Psychologist | 828 Federal Rd Fl 2, Brookfield, CT 06804 | 2008-05-30 |
| 1740488212 | Nicholas Rutigliano | Physical Therapist | 3 Federal Rd Ste 100, Brookfield, CT 06804 | 2007-07-06 |
| 1851431373 | Arnold Stuart Zentner | Psychiatry & Neurology | 4 Twin Rocks Road, Brookfield, CT 06804 | 2007-02-07 |
| Find all providers in zip 06804 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821262700 | Patricia E Barina | Physical Therapist | 16185 Burleigh Pl, Brookfield, WI 53005-2851 | 2008-04-22 |
| 1568601615 | Amy Marie Metrena | Physical Therapist | 246 Federal Rd, D14, Brookfield, CT 06804-2647 | 2009-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538772215 | Amanda Masterson | Physical Therapist | 39 Happy Hill Rd, Stamford, CT 06903-1203 | 2020-08-24 |
| 1770195190 | Garrett Graham | Physical Therapist | 400 Blake St Apt 4117, New Haven, CT 06515-4419 | 2020-08-18 |
| 1639653850 | Kari Bradley Lombardo | Physical Therapist | 28 Fieldcrest Drive, Ridgefield, CT 06877 | 2018-09-24 |
| 1346784568 | Tali Faber | Physical Therapist | 3 Baldwin Pl, Westport, CT 06880-4024 | 2016-12-07 |
| 1912313511 | Stretch Pediatric Therapy and Creative Movement Studio, LLC | Physical Therapist | 199 Shunpike Rd, Cromwell, CT 06416-1142 | 2014-07-03 |
| 1780934059 | Kasie-lynne Martin | Physical Therapist | 209 Cherry Street, Milford, CT 06460 | 2012-09-14 |
| 1629350103 | Arsenio Paez | Physical Therapist | 63 Reynolds Dr, Fairfield, CT 06824-4600 | 2011-09-12 |
| 1699089250 | Robert Marotti | Physical Therapist | 216 Fairfield Beach Rd, Fairfield, CT 06824-6842 | 2010-08-05 |
| 1417276684 | Carol B. Walcott | Physical Therapist | 25 Ashford Ln, Newtown, CT 06470-1740 | 2010-05-26 |
| 1386968725 | Lenore Rokosa Robillard | Physical Therapist | 42 Posa Dr, Bristol, CT 06010-5476 | 2010-03-14 |
| Find all providers with the same taxonomy | ||||
| City | BROOKFIELD |
| Zip Code | 06804 |
Please comment or provide details below to improve the information on MRS. COLLEEN B. WEITEKAMP.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.