NPIMap

Kaitlyn Marie Bernz, PT, DPT

Individual provider Active NPI Physical Therapist · Newtown, CT

NPI 1043764848 · NPPES record last updated Jul 20, 2022

Key facts

NPI
1043764848
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
011248 (CT)
Practice address
30 Church Hill Rd Ste 2
Newtown, CT 06470-1658
Phone
(203) 426-8449
Fax
(203) 426-8980
NPI assigned
Aug 9, 2016
Sex
Female
Sole proprietor
No

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
011248CTMDPhysical Therapist
040410NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Western CT Home Health Inc. Current Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 040410 NY
Physical Therapist 225100000X 011248 CT Yes

Addresses

Primary practice location

30 Church Hill Rd Ste 2
Newtown, CT 06470-1658

Mailing address

36 Grand PL
Newtown, CT 06470-2114
Phone (914) 438-9548

Other practice location 1

5901 Palisade Ave
Bronx, NY 10471-1205
Phone (718) 581-1000

Other providers in Newtown, CT

All providers in Newtown, CT · Physical Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.