Active NPI
Daniel Stango
- Physical Therapist
- Watertown, CT
National Provider Identifier
1093904294
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 008214
- Practice address
- 58 Loop Rd
Watertown, CT 06795-1552 - Phone
- (203) 206-4576
- Fax
- (860) 417-2457
- NPI assigned
- Oct 24, 2007
- 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 | 008214 | CT | Primary |
Addresses
Primary practice location
58 Loop Rd
Watertown, CT 06795-1552
Mailing address
58 Loop Rd
Watertown, CT 06795-1552
Phone (203) 206-4576
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008214 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connectcare | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Home Health Agency
- Guilford, CT
- NPI 1346617115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524182400000",
"number": "1093904294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "58 LOOP RD",
"city": "WATERTOWN",
"state": "CT",
"postal_code": "067951552",
"telephone_number": "203-206-4576",
"fax_number": "860-417-2457"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "58 LOOP RD",
"city": "WATERTOWN",
"state": "CT",
"postal_code": "067951552",
"telephone_number": "203-206-4576",
"fax_number": "860-417-2457"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STANGO",
"first_name": "DANIEL",
"name_prefix": "Mr.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-24",
"last_updated": "2018-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "008214",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Watertown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.