Active NPI
Jeanette Perry
- Physical Therapist
- West Hartford, CT
National Provider Identifier
1144699786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 13439
- Practice address
- 29 N Main St
West Hartford, CT 06107-1933 - Phone
- (860) 561-3960
- NPI assigned
- Sep 24, 2015
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 13439 | CT | Primary |
Addresses
Primary practice location
29 N Main St
West Hartford, CT 06107-1933
Mailing address
29 N Main St
West Hartford, CT 06107-1933
Other names 1
- Ms. Jeanette Esposito
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 |
|---|---|---|---|
| 13439 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Physical Therapy Texas Limited Partnership | 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.
-
- Physical Therapy Clinic/Center
- Houston, TX
- NPI 1356304323
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1443052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727049600000",
"number": "1144699786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29 N MAIN ST",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061071933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29 N MAIN ST",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061071933",
"telephone_number": "860-561-3960"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERRY",
"first_name": "JEANETTE",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-09-24",
"last_updated": "2024-09-23",
"certification_date": "2024-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "13439",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JEANETTE",
"last_name": "ESPOSITO",
"prefix": "MS.",
"code": "1",
"type": "Former Name"
}
]
}Other providers in West Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.