Active NPI
Dale L Sweet Jr., PHYSICAL THERAPIST
- Physical Therapist
- Thomaston, CT
National Provider Identifier
1194705780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 10 Marine St
Thomaston, CT 06787-1470 - Phone
- (860) 283-2316
- Fax
- (860) 283-6079
- NPI assigned
- Jan 19, 2006
- Last updated
- Nov 3, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 | NU | Primary |
Addresses
Primary practice location
10 Marine St
Thomaston, CT 06787-1470
Mailing address
10 Marine St
Thomaston, CT 06787-1470
Phone (860) 283-2316
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6109 | Other | CT | LICENSE |
| ANTHEM BC/BS | Other | CT | PROVIDER ID NUMBER |
| 004190758 | Medicaid | CT |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10 Marine St
Thomaston, CT 06787-1470
Phone (860) 283-2316
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006109 | CT | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thomaston Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
Locations
10 Marine St
Thomaston, CT 06787
Phone (860) 283-2316
258 S Main St
Thomaston, CT 06787
Phone (860) 283-2316
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Thomaston, CT
- NPI 1689865792
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698969600000",
"number": "1194705780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10 MARINE ST",
"city": "THOMASTON",
"state": "CT",
"postal_code": "067871470",
"telephone_number": "860-283-2316",
"fax_number": "860-283-6079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 MARINE ST",
"city": "THOMASTON",
"state": "CT",
"postal_code": "067871470",
"telephone_number": "860-283-2316",
"fax_number": "860-283-6079"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SWEET",
"first_name": "DALE",
"middle_name": "L",
"name_prefix": "Mr.",
"name_suffix": "Jr.",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2023-11-03",
"certification_date": "2023-11-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "6109",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER ID NUMBER",
"identifier": "ANTHEM BC/BS",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004190758",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Thomaston, CT
- Chelsey Ann Shaban, APRN
- Manpuneet Singh, DDS
- Sweet Counseling Associates, LLC Dba Thomaston Counseling Associates (Thomaston Counseling Associates)
- Sweet Counseling, LLC
- Andrea Jeanne Sweet, MS, MFT
- Thomaston Board of Education
- Thomaston Counseling Associates
- Thomaston Counseling Center
- Thomaston Dental Associates PLLC
- Thomaston Family Dental, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.