Active NPI
Noah Dargenio
- Physical Therapist
- Tolland, CT
National Provider Identifier
1073494522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 15090
- Practice address
- 384 Merrow Rd Ste B
Tolland, CT 06084-3971 - Phone
- (860) 875-4816
- NPI assigned
- Sep 10, 2025
- Last updated
- Sep 10, 2025
- 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 | 15090 | CT | Primary |
Addresses
Primary practice location
384 Merrow Rd Ste B
Tolland, CT 06084-3971
Mailing address
275 South St Apt 3H
Vernon, CT 06066-4223
Other practice location 1
100 Gerber Dr Ste 2B
Tolland, CT 06084-2869
Phone (860) 896-9145
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
269 Middle Tpke W
Manchester, CT 06040-3834
Phone (860) 533-0356
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15090 | CT | MD | Physical Therapist |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1757462400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1757462400000",
"number": "1073494522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "275 SOUTH ST APT 3H",
"city": "VERNON",
"state": "CT",
"postal_code": "060664223"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "384 MERROW RD STE B",
"city": "TOLLAND",
"state": "CT",
"postal_code": "060843971",
"telephone_number": "860-875-4816"
}
],
"practiceLocations": [
{
"address_1": "100 Gerber Dr Ste 2B",
"address_purpose": "LOCATION",
"city": "Tolland",
"state": "CT",
"postal_code": "060842869",
"country_code": "US",
"telephone_number": "860-896-9145",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DARGENIO",
"first_name": "NOAH",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-09-10",
"last_updated": "2025-09-10",
"certification_date": "2025-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "15090",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tolland, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2025; 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.