Individual provider Active NPI

Janell Tartaglia, DPT, PCS

  • Physical Therapist
  • Canton, CT
National Provider Identifier
1104109867
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
009194 Issued in CT
Practice address
259 Albany Tpke Ste 5
Canton, CT 06019-2557
Phone
(203) 788-0009
NPI assigned
Sep 20, 2011
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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 009194 CT Primary

Addresses

Primary practice location

259 Albany Tpke Ste 5
Canton, CT 06019-2557

Mailing address

61 Park Rd
Barkhamsted, CT 06063-4119
Phone (203) 788-0009

Other identifiers 1

IdentifierTypeStateIssuer
076572OtherCTGROUP MEDICARE ID

Other names 1

  • Miss Janell Mancini Former name

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
009194CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Inch by Inch Pediatric Therapy LLC CurrentSince Oct 20, 2024 Accepting new patients
Crescent Moon Care LLC Physical Therapist CurrentSince Oct 20, 2024 Accepting new patients

Locations

259 Albany Tpke
Ste 5
Canton, CT 06019
Phone (203) 788-0009

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": "1316476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1104109867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 PARK RD",
            "city": "BARKHAMSTED",
            "state": "CT",
            "postal_code": "060634119",
            "telephone_number": "203-788-0009",
            "fax_number": "860-777-1067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "259 ALBANY TPKE STE 5",
            "city": "CANTON",
            "state": "CT",
            "postal_code": "060192557",
            "telephone_number": "203-788-0009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARTAGLIA",
        "first_name": "JANELL",
        "name_prefix": "Mrs.",
        "credential": "DPT, PCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-20",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "009194",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP MEDICARE ID",
            "identifier": "076572",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANELL",
            "last_name": "MANCINI",
            "prefix": "MISS",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Canton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.