NPIMap

Organization Active NPI

SNF Physiatry Services CT PLLC

  • Physical Medicine & Rehabilitation Physician
  • Waterbury, CT
National Provider Identifier
1033911466
Registry record updated Mar 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
SNF PHYSIATRY SERVICES CT PLLC
Practice address
992 Cooke St
Waterbury, CT 06704-1912
Phone
(732) 813-0799
NPI assigned
Mar 26, 2025
Last updated
Mar 26, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2025

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

Authorized official

Name
James ColeNPI 1063908010
Title
Owner
Phone
(732) 813-0799

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X NU Primary

Addresses

Primary practice location

992 Cooke St
Waterbury, CT 06704-1912

Mailing address

185 Route 70 Ste 305
Toms River, NJ 08755-0911

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250521001821 CT Part B Supplier - Clinic/Group Practice 9436678661 Receives reassigned benefits from 11 practitioners
Practice locations: Waterbury, CT

National Provider Directory

National Provider Directory

Locations

992 Cooke St
Waterbury, CT 06704

185 Route 70
Ste 305
Toms River, NJ 08755

Practitioners & affiliated clinicians

Practitioners 12

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1742947200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742947200000",
    "number": "1033911466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 ROUTE 70 STE 305",
            "city": "TOMS RIVER",
            "state": "NJ",
            "postal_code": "087550911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "992 COOKE ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067041912",
            "telephone_number": "732-813-0799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNF PHYSIATRY SERVICES CT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-26",
        "last_updated": "2025-03-26",
        "certification_date": "2025-03-26",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "JAMES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "732-813-0799"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.