NPIMap

Organization Active NPI

Greater Hartford Physical Therapy

  • Physical Therapist
  • Hartford, CT
National Provider Identifier
1093927634
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
GREATER HARTFORD PHYSICAL THERAPY
Practice address
36 Woodland Street
Hartford, CT 06105
Phone
(860) 522-2717
Fax
(860) 240-7605
NPI assigned
May 4, 2007
Organization subpart
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

Authorized official

Name
Stephen Worley, CFO
Title
Vice President
Phone
(860) 522-2717

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

36 Woodland Street
Hartford, CT 06105

Mailing address

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

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070601000069 CT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5092813873 Receives reassigned benefits from 6 practitioners
Practice locations: Bloomfield, CT; Hartford, CT; Southington, CT

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

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

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

36 Woodland St
#0
Hartford, CT 06105

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

1115 West St
Unit C
Southington, CT 06489
Phone (860) 621-3899

Practitioners & affiliated clinicians

Practitioners 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1093927634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "36 WOODLAND STREET",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06105",
            "telephone_number": "860-522-2717",
            "fax_number": "860-240-7605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 WOODLAND STREET",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "06105",
            "telephone_number": "860-522-2717",
            "fax_number": "860-240-7605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREATER HARTFORD PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-04",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "WORLEY",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "860-522-2717",
        "authorized_official_credential": "CFO"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.