Individual provider Active NPI

Carleen Delgreco, DPT

  • Physical Therapist
  • Guilford, CT
National Provider Identifier
1124632237
Registry record updated Sep 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12769 Issued in CT
Practice address
705 Boston Post Rd Ste 5a
Guilford, CT 06437-2733
Phone
(203) 458-1645
NPI assigned
Sep 4, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 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 12769 CT Primary

Addresses

Primary practice location

705 Boston Post Rd Ste 5a
Guilford, CT 06437-2733

Mailing address

6 Clydesdale Ave
Pelham, NH 03076-3508
Phone (603) 785-0608

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201028000168 CT Practitioner - Physical Therapist in Private Practice 2567872807 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Physical Therapy Specialists of Guilford, LLCGroup PAC ID 8820263759, 13 clinicians

Practice addresses (Care Compare)

705 Boston Post Rd
Suite 5a
Guilford, CT 06437-2733
Phone (203) 458-1645

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Specialists Physical Therapist CurrentSince Sep 15, 2020 Accepting new patients
Physical Therapy Specialists PastSince Sep 6, 2020 Accepting new patients

Locations

705 Boston Post Rd
Ste 5A
Guilford, CT 06437
Phone (203) 458-1645

840 Boston Post Rd
#200
Old Saybrook, CT 06475
Phone (203) 458-1645

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599177600000",
    "number": "1124632237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 CLYDESDALE AVE",
            "city": "PELHAM",
            "state": "NH",
            "postal_code": "030763508",
            "telephone_number": "603-785-0608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 BOSTON POST RD STE 5A",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372733",
            "telephone_number": "203-458-1645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELGRECO",
        "first_name": "CARLEEN",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2020-09-04",
        "certification_date": "2020-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "12769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

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