NPIMap

Organization Active NPI

Sue Malone Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • New Milford, CT
National Provider Identifier
1144462169
Registry record updated Jun 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
004046 Issued in CT
Legal business name
SUE MALONE PHYSICAL THERAPY LLC
Practice address
22 Sherwood Dr
New Milford, CT 06776-3317
Phone
(203) 417-9433
Fax
(860) 350-0285
NPI assigned
Apr 6, 2009
Last updated
Jun 15, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2009

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

Authorized official

Name
Ms. Susan MaloneNPI 1619171584
Title
Owner
Phone
(203) 417-9433

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 004046 CT
Physical Therapy Clinic/Center 261QP2000X 004046 CT Primary

Addresses

Primary practice location

22 Sherwood Dr
New Milford, CT 06776-3317

Mailing address

22 Sherwood Dr
New Milford, CT 06776-3317
Phone (203) 417-9433

Other identifiers 1

IdentifierTypeStateIssuer
004046OtherCTPHYSICAL THERAPY LICENSE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1238976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1245024000000",
    "number": "1144462169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 SHERWOOD DR",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067763317",
            "telephone_number": "203-417-9433",
            "fax_number": "860-350-0285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 SHERWOOD DR",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067763317",
            "telephone_number": "203-417-9433",
            "fax_number": "860-350-0285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUE MALONE PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-06",
        "last_updated": "2009-06-15",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-417-9433",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "CT",
            "license": "004046",
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CT",
            "license": "004046",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "004046",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; 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.