Active NPI
Brian Roberts
- Physical Therapist
- Greenwich, CT
National Provider Identifier
1073251971
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 75 Holly Hill LN
Greenwich, CT 06830-6098 - Phone
- (203) 276-8526
- NPI assigned
- May 22, 2022
- Sex
- Male
- 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 | Primary |
Addresses
Primary practice location
75 Holly Hill LN
Greenwich, CT 06830-6098
Mailing address
8 Candlewood Knolls Rd
New Fairfield, CT 06812-4244
Phone (201) 919-8949
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://mycw46.eclinicalweb.com/portal5317/jsp/100mp/login_otp.jsp |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653177600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653177600000",
"number": "1073251971",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 CANDLEWOOD KNOLLS RD",
"city": "NEW FAIRFIELD",
"state": "CT",
"postal_code": "068124244",
"telephone_number": "201-919-8949"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 HOLLY HILL LN",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068306098",
"telephone_number": "203-276-8526"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ROBERTS",
"first_name": "BRIAN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-05-22",
"last_updated": "2022-05-22",
"certification_date": "2022-05-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://mycw46.eclinicalweb.com/portal5317/jsp/100mp/login_otp.jsp",
"affiliation": "N",
"address_1": "1 Hospital Plz",
"city": "Stamford",
"state": "CT",
"country_code": "US",
"postal_code": "069023602",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenwich, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.