Active NPI
Jane House, RPT
- Physical Therapist
- Bloomfield, CT
National Provider Identifier
1053465237
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 001128
- Practice address
- 701 Cottage Grove Rd
Suite E130
Bloomfield, CT 06002-3059 - Phone
- (860) 286-0838
- NPI assigned
- Jan 23, 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 | 001128 | CT | Primary |
Addresses
Primary practice location
701 Cottage Grove Rd
Suite E130
Bloomfield, CT 06002-3059
Mailing address
701 Cottage Grove Rd
E130
Bloomfield, CT 06002-3059
Phone (860) 286-0838
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 |
|---|---|---|---|
| 001128 | CT | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sage Rehab, 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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053465237",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "701 COTTAGE GROVE RD",
"address_2": "E130",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060023059",
"telephone_number": "860-286-0838",
"fax_number": "860-286-0109"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 COTTAGE GROVE RD",
"address_2": "SUITE E130",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060023059",
"telephone_number": "860-286-0838"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOUSE",
"first_name": "JANE",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "001128",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield, 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.