Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Colleen Hetrick

Individual provider Physical Therapist · NPI 1649647660

Colleen Hetrick is a Physical Therapist in Private Practice in Mc Lean, Virginia. Qualified in 2015, 11 years ago. Practices with Pro Motion Physical Therapy, LLC, a 7-clinician group and works from 2 locations. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2015
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Practice location Address checks out

6849 Old Dominion Dr Ste 330
Mc Lean, VA 22101
Phone: (703) 848-9333
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 990 Elk Grove Town Ctr, Elk Grove Village, IL 60007-3754 — (847) 290-1111

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 070021755 (IL)

Record details

NPI number1649647660
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 25, 2015
Last updated in NPPESNovember 6, 2019
Mailing address6849 Old Dominion Dr Ste 330, Mc Lean, VA 22101-3791

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Group practice Pro Motion Physical Therapy, Llc — 7 clinicians
Accepts Medicare assignment Not indicated

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