Noah Dargenio
Individual provider Active NPI Physical Therapist · Tolland, CT
NPI 1073494522 · NPPES record last updated Sep 10, 2025
Key facts
- NPI
- 1073494522
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 15090 (CT)
- Practice address
- 384 Merrow Rd Ste B
Tolland, CT 06084-3971 - Phone
- (860) 875-4816
- NPI assigned
- Sep 10, 2025
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 11
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ptsma Inc
Practice addresses (Care Compare)
269 Middle Tpke W
Manchester, CT 06040-3834
Phone (860) 533-0356
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260616004181 | CT | Practitioner - Physical Therapist in Private Practice | 1254803604 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15090 | CT | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15090 | CT | Yes |
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
Other providers in Tolland, CT
- Cultivating Change Counseling Services, LLC
- Rachel Curtis
- Cutting Edge Chiropractic LLC
- Daelan, LLC
- Frederick M Daniels
- David E. Palozej Eyecare Associates, LLC
- Joel D Davidson
- Mary Ann Delaney
- Diana Home Care LLC
- Stacia Lynne Diloreto
All providers in Tolland, CT · Physical Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.