Active NPI
Gina M Flanagan, PT
- Physical Therapist
- Columbia, CT
National Provider Identifier
1063255529
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 006776
- Practice address
- 106 CT 66
Columbia, CT 06237-1224 - Phone
- (860) 228-0194
- NPI assigned
- Jun 13, 2024
- 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 | 006776 | CT | Primary |
Addresses
Primary practice location
106 CT 66
Columbia, CT 06237-1224
Mailing address
106 CT 66
Columbia, CT 06237-1224
Phone (860) 228-0194
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 |
|---|---|---|---|
| 006776 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1718236800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718236800000",
"number": "1063255529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "106 CT 66",
"city": "COLUMBIA",
"state": "CT",
"postal_code": "062371224",
"telephone_number": "860-228-0194"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "106 CT 66",
"city": "COLUMBIA",
"state": "CT",
"postal_code": "062371224",
"telephone_number": "860-228-0194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLANAGAN",
"first_name": "GINA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-06-13",
"last_updated": "2024-06-13",
"certification_date": "2024-06-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "006776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Columbia, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.