Stephen W Pallotti, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004462 Issued in CT

Practice address

340 Broad St
1St Floor
Windsor, CT 06095-3030

Phone

(860) 683-1007

Fax

(860) 683-1154

NPI assigned

Nov 21, 2006

Sex

Male

Sole proprietor

No

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

Practice roles

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.

• Advantage Physical Therapy & Sports Medicine, LLC

  • Physical Therapist
  • Windsor, CT
  • NPI 1366523029
  NPD (past)
• Advantage Physical Therapy and Sports Medicine, LLC

  • Physical Therapy Clinic/Center
  • Windsor, CT
  • NPI 1013082817

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174698997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 BROAD ST",
            "address_2": "1ST FLOOR",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060953030",
            "telephone_number": "860-683-1007",
            "fax_number": "860-683-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BROAD ST",
            "address_2": "1ST FLOOR",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060953030",
            "telephone_number": "860-683-1007",
            "fax_number": "860-683-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PALLOTTI",
        "first_name": "STEPHEN",
        "middle_name": "W",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "004462",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura F Owens, MS PT
• Sharon H Owens, RPH
• Cory Pacheck, LMFT
• Alissa Pacheco
• Nishtha Mital Padhy, PHARMD
• Pamela M. Taylor, Psy.D. LLC
• Edward D. Paquette, LPC
• Amy Joy Parent, LCSW
• Anthony Pasquariello
• Ishani Ravi Patel

• All providers in Windsor, CT
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.