Black Rock Physical Therapy
NPI 1063650901 · Physical Therapy Clinic/Center · Bridgeport, CT
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Black Rock Physical Therapy is a Physical Therapy Clinic/Center organization in Bridgeport, CT (NPI 1063650901).
Provider details
- NPI number
- 1063650901
- Entity type
- Organization
- Primary specialty
- Physical Therapy Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Tara Collins, Physical Therapist/Owner(203) 345-1720
- License
- 004078 (CT)
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Former legal business name
- Tlcpt
- Former legal business name
- Tlcpt
Registry dates
- Enumerated
- 2009-01-30
- Last updated
- 2018-05-03
Frequently asked questions
- What is Black Rock Physical Therapy's NPI number?
- Black Rock Physical Therapy's National Provider Identifier (NPI) is 1063650901, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Black Rock Physical Therapy?
- Black Rock Physical Therapy is classified in the NPPES registry as Physical Therapy Clinic/Center (Ambulatory Health Care Facilities).
- Where is Black Rock Physical Therapy located?
- Black Rock Physical Therapy's practice location on file with NPPES is 2889 Fairfield Ave, Bridgeport, CT 06605-3211.
- What is Black Rock Physical Therapy's phone number?
- The practice phone number listed in the NPPES registry for Black Rock Physical Therapy is (203) 335-1987.
- Does Black Rock Physical Therapy accept Medicare?
- Black Rock Physical Therapy is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Black Rock Physical Therapy?
- The authorized official listed on Black Rock Physical Therapy's NPPES record is Tara Collins, Physical Therapist/Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Black Rock Physical Therapy's NPI active?
- Yes — Black Rock Physical Therapy's NPI (1063650901) is active in the NPPES registry as of the last update on 2018-05-03.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.