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

Colleen Maria O'Donnell

Individual provider Physical Therapist · NPI 1174291603

Colleen Maria O'Donnell is a Physical Therapist in Private Practice in Tucker, Georgia. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2021
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Practice location Address checks out

5844 Lawrenceville Hwy
Tucker, GA 30084-1930
Phone: (770) 585-1151
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT016863 (GA)

Record details

NPI number1174291603
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 31, 2021
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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