Individual provider Active NPI

Joan Marie Karpuk, P.T.

  • Physical Therapist
  • Bloomfield, CT
National Provider Identifier
1104423003
Registry record updated Oct 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
003291 Issued in CT
Practice address
693 Bloomfield Ave Ste 201
Bloomfield, CT 06002-2489
Phone
(860) 242-8422
Fax
(860) 242-4147
NPI assigned
Oct 4, 2020
Last updated
Oct 4, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2020

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 003291 CT Primary

Addresses

Primary practice location

693 Bloomfield Ave Ste 201
Bloomfield, CT 06002-2489

Mailing address

693 Bloomfield Ave Ste 2
Bloomfield, CT 06002-2489
Phone (860) 242-8427

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL alabella@centerforptandwellness.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210322001318 CT Practitioner - Physical Therapist in Private Practice 4385051234 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Rehabilitation Services Limited PartnershipGroup PAC ID 8426428129, 49 clinicians

Practice addresses (Care Compare)

435 Hartford Tpke
Suite U
Vernon, CT 06066-4834
Phone (860) 870-8272

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003291CTMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehabilitation Services, LLC Physical Therapist CurrentSince Mar 1, 2021 Accepting new patients
Integrated Rehabilitation Services Limited Partnership Physical Therapist CurrentSince Dec 1, 2022 Accepting new patients
Center for Physical Therapy and Wellness, PC Physical Therapist PastSince Oct 11, 2020 Accepting new patients

Locations

693 Bloomfield Ave
Ste 201
Bloomfield, CT 06002
Phone (860) 242-8427

693 Bloomfield Ave
Ste 202
Bloomfield, CT 06002
Phone (860) 242-8427

230 Mountain Rd
Fl 2
Suffield, CT 06078
Phone (860) 668-9589

230 Mountain Rd
Ste 2
Suffield, CT 06078

435 Hartford Tpke
Ste U
Vernon Rockville, CT 06066
Phone (860) 870-8272

Organizations & group practices 3

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": "1601769600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601769600000",
    "number": "1104423003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "693 BLOOMFIELD AVE STE 2",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022489",
            "telephone_number": "860-242-8427",
            "fax_number": "860-242-4147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "693 BLOOMFIELD AVE STE 201",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022489",
            "telephone_number": "860-242-8422",
            "fax_number": "860-242-4147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KARPUK",
        "first_name": "JOAN",
        "middle_name": "MARIE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-04",
        "last_updated": "2020-10-04",
        "certification_date": "2020-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "003291",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "alabella@centerforptandwellness.com",
            "affiliation": "N",
            "address_1": "693 Bloomfield Ave Ste 201",
            "city": "Bloomfield",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060022489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bloomfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2020; 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.