Individual provider Active NPI

John D Bianchini, P.T.

  • Physical Therapist
  • Prospect, CT
National Provider Identifier
1073585386
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007742 Issued in CT
Practice address
44 Waterbury Rd
Ste. 1C
Prospect, CT 06712-1242
Phone
(203) 758-5040
Fax
(203) 758-5042
NPI assigned
Feb 2, 2006
Last updated
Sep 14, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2009

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 007742 CT Primary
Orthopedic Physical Therapist 2251X0800X 5831 AZ

Addresses

Primary practice location

44 Waterbury Rd
Ste. 1C
Prospect, CT 06712-1242

Mailing address

PO Box 7205
Prospect, CT 06712-0205
Phone (203) 758-5040

Other identifiers 3

IdentifierTypeStateIssuer
080007742CT01OtherCTANTHEM BC BS
080007742CT06OtherCTANTHEM BCBS
080007742CT02OtherCTANTHEM BC BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080128000586 CT Practitioner - Physical Therapist in Private Practice 6507859659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

44 Waterbury Rd
Suite 1C
Prospect, CT 06712-1243
Phone (203) 758-5040

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5831AZMDGeneral Practice Dentistry
007742CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Bianchini Physical Therapy, LLC Physical Therapist CurrentSince Aug 5, 2009 Accepting new patients
Alpha and Omega Physical Therapy Acc Physical Therapist PastSince Feb 1, 2004 Accepting new patients

Locations

44 Waterbury Rd
Ste 1C
Prospect, CT 06712
Phone (203) 758-5040

Organizations & group practices 2

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252886400000",
    "number": "1073585386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7205",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "067120205",
            "telephone_number": "203-758-5040",
            "fax_number": "203-758-5042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 WATERBURY RD",
            "address_2": "STE. 1C",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "067121242",
            "telephone_number": "203-758-5040",
            "fax_number": "203-758-5042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BIANCHINI",
        "first_name": "JOHN",
        "middle_name": "D",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2009-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007742",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "AZ",
            "license": "5831",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "080007742CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "080007742CT06",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC BS",
            "identifier": "080007742CT02",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.