Organization Active NPI

Total Body Physical Therapy, LLP

  • Physical Therapist
  • Norwalk, CT
National Provider Identifier
1083075832
Registry record updated Jun 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TOTAL BODY PHYSICAL THERAPY, LLP
Practice address
166 East Ave
Norwalk, CT 06851-5725
Phone
(203) 957-8162
Fax
(203) 957-8165
NPI assigned
Mar 8, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2016

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

Authorized official

Name
Mrs. Alison Farrell, MS, ATC, LATNPI 1164524351
Title
Co-Owner/Practice Manager
Phone
(203) 957-8162

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 006539 CT
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 008189 CT
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X CT Primary
Athletic TrainerGroup: 193200000X MULTI-SPECIALTY GROUP 2255A2300X

Addresses

Primary practice location

166 East Ave
Norwalk, CT 06851-5725

Mailing address

166 East Ave
Norwalk, CT 06851-5725
Phone (203) 957-8162

Other identifiers 3

IdentifierTypeStateIssuer
1164524351OtherCTINDIVIDUAL NPI
1215990551OtherCTINDIVIDUAL NPI
1194913160OtherCTINDIVIDUAL NPI

Other names 1

  • Total Body PT Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160517000027 CT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 0648569533 Receives reassigned benefits from 2 practitioners
Practice locations: Norwalk, CT

National Provider Directory

National Provider Directory

Locations

166 East Ave
Norwalk, CT 06851
Phone (203) 354-5770

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465776000000",
    "number": "1083075832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 EAST AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515725",
            "telephone_number": "203-957-8162",
            "fax_number": "203-957-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 EAST AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515725",
            "telephone_number": "203-957-8162",
            "fax_number": "203-957-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TOTAL BODY PHYSICAL THERAPY, LLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-08",
        "last_updated": "2016-06-13",
        "status": "A",
        "authorized_official_last_name": "FARRELL",
        "authorized_official_first_name": "ALISON",
        "authorized_official_title_or_position": "CO-OWNER/PRACTICE MANAGER",
        "authorized_official_telephone_number": "203-957-8162",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, ATC, LAT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "006539",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "008189",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": null,
            "primary": true
        },
        {
            "code": "2255A2300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1164524351",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1215990551",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1194913160",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Total Body PT",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.