Active NPI
Patricia Mahoney, RPT
- Physical Therapist
- Milford, CT
National Provider Identifier
1033431606
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 001665
- Practice address
- 318 New Haven Ave
Suite B
Milford, CT 06460-6661 - Phone
- (203) 874-0500
- NPI assigned
- Feb 23, 2010
- 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 | 001665 | CT | Primary |
Addresses
Primary practice location
318 New Haven Ave
Suite B
Milford, CT 06460-6661
Mailing address
418 Woodward Ave
Unit 27
New Haven, CT 06512-5038
Phone (203) 469-1833
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001665 | CT | MD | Registered Dietitian |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1266883200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1266883200000",
"number": "1033431606",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "418 WOODWARD AVE",
"address_2": "UNIT 27",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065125038",
"telephone_number": "203-469-1833"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "318 NEW HAVEN AVE",
"address_2": "SUITE B",
"city": "MILFORD",
"state": "CT",
"postal_code": "064606661",
"telephone_number": "203-874-0500"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHONEY",
"first_name": "PATRICIA",
"name_prefix": "Ms.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-02-23",
"last_updated": "2010-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "001665",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.