Individual provider Active NPI

Bruce Michael Worley Sr., PT

  • Physical Therapist
  • Hartford, CT
National Provider Identifier
1093856791
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CT001193 Issued in CT
Practice address
36 Woodland St
Hartford, CT 06105-2325
Phone
(860) 522-2717
Fax
(860) 249-6164
NPI assigned
Feb 8, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X CT001193 CT Primary

Addresses

Primary practice location

36 Woodland St
Hartford, CT 06105-2325

Mailing address

36 Woodland St
Hartford, CT 06105-2325
Phone (860) 522-2717

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111219000690 CT Practitioner - Physical Therapist in Private Practice 4981702792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Perelman School of Med at the University of Pennsylvania, 1969
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Greater Hartford Physical TherapyGroup PAC ID 5092813873, 4 clinicians

Practice addresses (Care Compare)

36 Woodland St
Hartford, CT 06105-2325
Phone (860) 522-2717

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CT001193CTMDPhysical Therapist
001193CTMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Hartford Physical Therapy Physical Therapist CurrentSince Jan 1, 1987 Accepting new patients
Select Orthopedics, LLC PastSince May 21, 2007 Accepting new patients

Locations

580 Cottage Grove Rd
Ste 101
Bloomfield, CT 06002
Phone (860) 286-1043

36 Woodland St
Hartford, CT 06105
Phone (860) 522-2717

191 Franklin Ave
Hartford, CT 06114
Phone (860) 296-7460

40 Woodland St
Hartford, CT 06105
Phone (860) 242-1003

36 Woodland St
#0
Hartford, CT 06105

1095 West St
Unit 6
Southington, CT 06489
Phone (860) 621-3899

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1170892800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571788800000",
    "number": "1093856791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 WOODLAND ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052325",
            "telephone_number": "860-522-2717",
            "fax_number": "860-249-6164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 WOODLAND ST",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061052325",
            "telephone_number": "860-522-2717",
            "fax_number": "860-249-6164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WORLEY",
        "first_name": "BRUCE",
        "middle_name": "MICHAEL",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-08",
        "last_updated": "2019-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "CT001193",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.