NPIMap

Organization Active NPI

Foot & Ankle Physical Therapy & Rehab Medicine

  • Physical Therapist
  • Milford, CT
National Provider Identifier
1164591459
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FOOT & ANKLE PHYSICAL THERAPY & REHAB MEDICINE
Practice address
32 Cherry Street
Suite D
Milford, CT 06460
Phone
(203) 777-8515
Fax
(203) 782-6532
NPI assigned
Nov 8, 2006
Last updated
Jun 5, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

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

Authorized official

Name
Dr. David C Novicki, DPM
Title
Owner
Phone
(203) 777-8515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X CT Primary

Addresses

Primary practice location

32 Cherry Street
Suite D
Milford, CT 06460

Mailing address

32 Cherry Street
Suite D
Milford, CT 06460
Phone (203) 777-8515

National Provider Directory

National Provider Directory

Locations

10 N Main St
Branford, CT 06405

32 Cherry St
Ste D
Milford, CT 06460
Phone (203) 777-8515

1 Bradley Rd
Ste 801
Woodbridge, CT 06525
Phone (202) 389-4593

1 Bradley Rd
Ste 802
Woodbridge, CT 06525

Practitioners & affiliated clinicians

Practitioners 20

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.

View all 20

NPI Registry JSON

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1685923200000",
    "number": "1164591459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "32 CHERRY STREET",
            "address_2": "SUITE D",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "06460",
            "telephone_number": "203-777-8515",
            "fax_number": "203-782-6532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "32 CHERRY STREET",
            "address_2": "SUITE D",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "06460",
            "telephone_number": "203-777-8515",
            "fax_number": "203-782-6532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOOT & ANKLE PHYSICAL THERAPY & REHAB MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-08",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A",
        "authorized_official_last_name": "NOVICKI",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-777-8515",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2023; 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.