Individual provider Active NPI

Rebecca Lynne Petrosino, PT, DPT

  • Physical Therapist
  • Trumbull, CT
National Provider Identifier
1033306311
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11695 Issued in CT
Practice address
15 Corporate Dr Ste 2-2
Trumbull, CT 06611-1351
Phone
(203) 220-6712
NPI assigned
Oct 1, 2007
Last updated
Oct 6, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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 11695 CT Primary

Addresses

Primary practice location

15 Corporate Dr Ste 2-2
Trumbull, CT 06611-1351

Mailing address

15 Corporate Dr Ste 2-2
Trumbull, CT 06611-1351
Phone (203) 220-6712

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180608000305 CT Practitioner - Physical Therapist in Private Practice 7214235126 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anb-Ptsma Holdings IncGroup PAC ID 4789572926, 190 clinicians

Practice addresses (Care Compare)

760 Main St S
Suite D
Southbury, CT 06488-4248
Phone (203) 437-6155

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11695CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Anb-Ptsma Holdings, Inc. Physical Therapist CurrentSince Jul 23, 2018 Accepting new patients

Locations

2373 Black Rock Tpke
Fairfield, CT 06825
Phone (203) 659-3056

103 E Main St
Unit C
Plainville, CT 06062
Phone (860) 517-8885

760 Main St S
Ste D
Southbury, CT 06488
Phone (203) 437-6155

1211 W Main St
Waterbury, CT 06708
Phone (203) 755-0163

47 N Main St
West Hartford, CT 06107
Phone (860) 409-4595

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, 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": "1191196800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791244800000",
    "number": "1033306311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 CORPORATE DR STE 2-2",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111351",
            "telephone_number": "203-220-6712"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 CORPORATE DR STE 2-2",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066111351",
            "telephone_number": "203-220-6712"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PETROSINO",
        "first_name": "REBECCA",
        "middle_name": "LYNNE",
        "name_prefix": "Mrs.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-10-01",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "11695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; 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.