Gail P Fennell, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004216 Issued in CT

Practice address

871 Ethan Allen Hwy
Ste 104
Ridgefield, CT 06877-2811

Phone

(203) 431-0348

Fax

(203) 431-0351

NPI assigned

Jun 3, 2006

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• CT Scoliosis and Spine Rehab, LLC

  • Physical Therapist
  • Ridgefield, CT
  • NPI 1801345699
  Authorized official Same address or phone

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1467676800000",
    "number": "1144268020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "871 ETHAN ALLEN HWY",
            "address_2": "SUITE 104",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068772800",
            "telephone_number": "203-431-0348",
            "fax_number": "203-431-0351"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "871 ETHAN ALLEN HWY",
            "address_2": "STE 104",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068772811",
            "telephone_number": "203-431-0348",
            "fax_number": "203-431-0351"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FENNELL",
        "first_name": "GAIL",
        "middle_name": "P",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-03",
        "last_updated": "2016-07-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "004216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Family Practice Dentistry of Ridgefield LLC
• Natasha K Fansiwala, DMD
• Samantha Farhi
• Lauren Faust, LCSW
• Ruthe Feilbert-Willis, LCSW
• Denise Fernandez, DC
• Eugene Feygin, RPH
• James Norwood Finklea, DDS
• Maya Fisher, MD
• Fit Psychiatry LLC

• Physical Therapist in Ridgefield, CT
• Providers in Ridgefield, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2016; 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.