Individual provider Active NPI

Kevin L. Rafferty, PT

  • Physical Therapist
  • Meriden, CT
National Provider Identifier
1003858374
Registry record updated Oct 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004926 Issued in CT
Practice address
425 S Broad St
Unit 1
Meriden, CT 06450
Phone
(203) 238-1334
Fax
(203) 238-1351
NPI assigned
Jun 12, 2006
Last updated
Oct 15, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 004926 CT Primary

Addresses

Primary practice location

425 S Broad St
Unit 1
Meriden, CT 06450

Mailing address

116 Danbury Rd Ste 5
New Milford, CT 06776-3442
Phone (860) 799-6320

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111014000007 CT Practitioner - Physical Therapist in Private Practice 0446222020 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carlson Therapy Network PCGroup PAC ID 8527968445, 18 clinicians

Practice addresses (Care Compare)

6 Shaws CV
Suite 101
New London, CT 06320-4969
Phone (860) 447-3009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
004926CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carlson Therapy Network, PC Physical Therapist CurrentSince Dec 22, 2000 Accepting new patients
Carlson Therapy Network Current Accepting new patients
Insight Rehab & Wellness PLLC Physical Therapist PastSince Sep 23, 2021 Accepting new patients

Locations

31 Old Route 7
Brookfield, CT 06804
Phone (203) 262-1911

816 Broad St
Meriden, CT 06450
Phone (203) 238-1334

816 Broad St
Ste 1718
Meriden, CT 06450

49 Randolph Rd
Ste 1
Middletown, CT 06457
Phone (203) 238-1334

49 Randolph Rd
Ste 2
Middletown, CT 06457
Phone (860) 790-5429

6 Shaws Cv
Ste 101
New London, CT 06320
Phone (860) 444-9022

116 Danbury Rd
New Milford, CT 06776
Phone (203) 794-6331

116 Danbury Rd
Ste 5
New Milford, CT 06776
Phone (860) 354-7605

85 Barnes Rd
Ste 109
Wallingford, CT 06492
Phone (203) 697-1067

1589 Main St
Unit 70
Willimantic, CT 06226
Phone (203) 238-1334

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760486400000",
    "number": "1003858374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 DANBURY RD STE 5",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067763442",
            "telephone_number": "860-799-6320",
            "fax_number": "860-799-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 S BROAD ST",
            "address_2": "UNIT 1",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "06450",
            "telephone_number": "203-238-1334",
            "fax_number": "203-238-1351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAFFERTY",
        "first_name": "KEVIN",
        "middle_name": "L.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2025-10-15",
        "certification_date": "2025-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "004926",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Meriden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.