Individual provider Active NPI

Kurt Sierer

  • Physical Therapist
  • Wilton, CT
National Provider Identifier
1063939122
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
011560 Issued in CT
Practice address
23 Hubbard Rd
Wilton, CT 06897-3045
Phone
(203) 762-5623
Fax
(203) 762-9344
NPI assigned
Aug 29, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 011560 CT Primary

Addresses

Primary practice location

23 Hubbard Rd
Wilton, CT 06897-3045

Mailing address

23 Hubbard Rd
Wilton, CT 06897-3045
Phone (203) 762-5623

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171010002929 CT Practitioner - Physical Therapist in Private Practice 3274808605 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Core Physical Therapy and Sports Medicine PCGroup PAC ID 6204105364, 5 clinicians

Practice addresses (Care Compare)

114 E Ave
Norwalk, CT 06851-5056
Phone (203) 853-1073

3180 Main St
Suite 202
Bridgeport, CT 06606-4237
Phone (203) 373-1593

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
011560CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Orthopaedic Specialists, LLC CurrentSince Jan 27, 2020 Accepting new patients
Valley Orthopaedic Specialists LLC CurrentSince Jan 27, 2020 Accepting new patients
Core Physical Therapy & Sports Medicine PC Physical Therapist CurrentSince Nov 8, 2024 Accepting new patients
Wilton Physical Therapy, LLC CurrentSince Aug 30, 2017 Accepting new patients

Locations

3180 Main St
Ste 204
Bridgeport, CT 06606
Phone (203) 371-6969

3180 Main St
Ste 202
Bridgeport, CT 06606
Phone (203) 373-1593

144 Oxford Rd
Oxford, CT 06478
Phone (203) 734-7900

2 Trap Falls Rd
Ste 404
Shelton, CT 06484
Phone (203) 734-7900

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.70818

Organizations & group practices 4

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": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1063939122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 HUBBARD RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068973045",
            "telephone_number": "203-762-5623",
            "fax_number": "203-762-9344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 HUBBARD RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068973045",
            "telephone_number": "203-762-5623",
            "fax_number": "203-762-9344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIERER",
        "first_name": "KURT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-29",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "011560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.