Active NPI
Peter Joseph Inserillo, PT, DPT
- Physical Therapist
- West Hartford, CT
National Provider Identifier
1194491464
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14.013235
- Practice address
- 635 New Park Ave # 2-A3
West Hartford, CT 06110-1329 - Phone
- (860) 816-4697
- Fax
- (860) 674-1095
- NPI assigned
- Aug 18, 2021
- Sex
- Male
- 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 | 14.013235 | CT | Primary |
Addresses
Primary practice location
635 New Park Ave # 2-A3
West Hartford, CT 06110-1329
Mailing address
243 Steele Rd Apt 312a
West Hartford, CT 06117-1725
Phone (860) 816-4697
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14.013235 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1629244800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655942400000",
"number": "1194491464",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "243 STEELE RD APT 312A",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061171725",
"telephone_number": "860-816-4697",
"fax_number": "860-674-1095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "635 NEW PARK AVE # 2-A3",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061101329",
"telephone_number": "860-816-4697",
"fax_number": "860-674-1095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INSERILLO",
"first_name": "PETER",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2021-08-18",
"last_updated": "2022-06-23",
"certification_date": "2022-06-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "14.013235",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 23, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.