Active NPI
Laurie S Cosenza, P.T.
- Physical Therapist
- Hartford, CT
National Provider Identifier
1033163779
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004974
- Practice address
- 100 Retreat Ave
Suite 306
Hartford, CT 06106-2528 - Phone
- (860) 527-3097
- Fax
- (860) 293-1010
- NPI assigned
- May 19, 2006
- Last updated
- Jul 8, 2007
- 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 | 004974 | CT | Primary |
Addresses
Primary practice location
100 Retreat Ave
Suite 306
Hartford, CT 06106-2528
Mailing address
110 Hopmeadow St
Suite 300
Simsbury, CT 06089-9407
Phone (860) 651-3381
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080004974CT09 | Other | CT | BC&BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004974 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Valley Rehabilitation Center, Inc. | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
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": "1147996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1033163779",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 HOPMEADOW ST",
"address_2": "SUITE 300",
"city": "SIMSBURY",
"state": "CT",
"postal_code": "060899407",
"telephone_number": "860-651-3381",
"fax_number": "860-651-0037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 RETREAT AVE",
"address_2": "SUITE 306",
"city": "HARTFORD",
"state": "CT",
"postal_code": "061062528",
"telephone_number": "860-527-3097",
"fax_number": "860-293-1010"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COSENZA",
"first_name": "LAURIE",
"middle_name": "S",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "004974",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC&BS",
"identifier": "080004974CT09",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.