Active NPI
Brittany Kearney
- Physical Therapist
- Westbrook, CT
National Provider Identifier
1023726700
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13805
- Practice address
- 5 Pequot Park Rd Ste 102
Westbrook, CT 06498-2856 - Phone
- (860) 399-6411
- NPI assigned
- Nov 10, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13805 | CT | Primary |
Addresses
Primary practice location
5 Pequot Park Rd Ste 102
Westbrook, CT 06498-2856
Mailing address
47 N Main St
West Hartford, CT 06107-1926
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230106000219 | CT | Practitioner - Physical Therapist in Private Practice | 6406226596 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anb-Ptsma Holdings Inc
Practice addresses (Care Compare)
5 Pequot Park Rd
Suite 102
Westbrook, CT 06498-2856
Phone (860) 399-6411
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anb-Ptsma Holdings, Inc. | Physical Therapist | Current | Accepting new patients |
| Sacred Heart University, Inc | Physical Therapist | Past | Accepting new patients |
Locations
103 E Main St
Unit C
Plainville, CT 06062
Phone (860) 517-8885
47 N Main St
West Hartford, CT 06107
Phone (860) 409-4595
5 Pequot Park Rd
Ste 102
Westbrook, CT 06498
Phone (860) 399-6411
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Fairfield, CT
- NPI 1154678928
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1668038400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668038400000",
"number": "1023726700",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 N MAIN ST",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061071926"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 PEQUOT PARK RD STE 102",
"city": "WESTBROOK",
"state": "CT",
"postal_code": "064982856",
"telephone_number": "860-399-6411"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEARNEY",
"first_name": "BRITTANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-10",
"last_updated": "2022-11-10",
"certification_date": "2022-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "13805",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Westbrook, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; 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.