Active NPI
Jeanne Marie Daubert, DPT
- Orthopedic Physical Therapist
- Canton, CT
National Provider Identifier
1124000716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 008220
- Practice address
- 65 Albany Tpke
Suite a
Canton, CT 06019-2507 - Phone
- (860) 693-6226
- Fax
- (860) 693-8002
- NPI assigned
- Nov 18, 2005
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 008220 | CT | Primary |
Addresses
Primary practice location
65 Albany Tpke
Suite a
Canton, CT 06019-2507
Mailing address
PO Box 466
Canton, CT 06019-0466
Phone (860) 693-6226
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 |
|---|---|---|---|
| 008220 | CT | MD | Orthopedic Physical Therapist |
| 8220 | CT | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Reading Berks Physical Therapy LLC | Orthopedic | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132272000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1297296000000",
"number": "1124000716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 466",
"city": "CANTON",
"state": "CT",
"postal_code": "060190466",
"telephone_number": "860-693-6226",
"fax_number": "860-693-8002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "65 ALBANY TPKE",
"address_2": "SUITE A",
"city": "CANTON",
"state": "CT",
"postal_code": "060192507",
"telephone_number": "860-693-6226",
"fax_number": "860-693-8002"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAUBERT",
"first_name": "JEANNE",
"middle_name": "MARIE",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-11-18",
"last_updated": "2011-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CT",
"license": "008220",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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 Feb 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.