Individual provider Active NPI

Alfred Macneill

  • Physical Therapist
  • Newington, CT
National Provider Identifier
1124934534
Registry record updated Aug 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15643 Issued in CT
Practice address
2307 Berlin Tpke
Newington, CT 06111-3206
Phone
(860) 687-9700
Fax
(860) 422-4632
NPI assigned
Aug 24, 2026
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2026

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 15643 CT Primary

Addresses

Primary practice location

2307 Berlin Tpke
Newington, CT 06111-3206

Mailing address

2307 Berlin Tpke
Newington, CT 06111-3206
Phone (860) 687-9700

Other practice location 1

176 Oakwood Dr
Glastonbury, CT 06033-2432
Phone (860) 687-9700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1787529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787529600000",
    "number": "1124934534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2307 BERLIN TPKE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061113206",
            "telephone_number": "860-687-9700",
            "fax_number": "860-422-4632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2307 BERLIN TPKE",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061113206",
            "telephone_number": "860-687-9700",
            "fax_number": "860-422-4632"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "176 Oakwood Dr",
            "address_purpose": "LOCATION",
            "city": "Glastonbury",
            "state": "CT",
            "postal_code": "060332432",
            "country_code": "US",
            "telephone_number": "860-687-9700",
            "fax_number": "860-422-4632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MACNEILL",
        "first_name": "ALFRED",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2026-08-24",
        "last_updated": "2026-08-24",
        "certification_date": "2026-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "15643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.