Individual provider Active NPI

Gregory D Wright, PT

  • Physical Therapist
  • Middlebury, CT
National Provider Identifier
1194722967
Registry record updated Oct 29, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
003180 Issued in CT
Practice address
1579 Straits Tpke
Middlebury, CT 06762-1835
Phone
(203) 577-2002
Fax
(203) 577-2006
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT26204 FL
Physical Therapist 225100000X 003180 CT Primary

Addresses

Primary practice location

1579 Straits Tpke
Middlebury, CT 06762-1835

Mailing address

1579 Straits Tpke
Middlebury, CT 06762-1835
Phone (203) 577-2002

Other practice location 1

82 Providence St
Putnam, CT 06260-1530
Phone (860) 315-9123

Other practice location 2

1579 Straits Tpke
Middlebury, CT 06762-1835
Phone (203) 577-2002 ext. 13

Other identifiers 2

IdentifierTypeStateIssuer
080003180CT22OtherCTANTHEM BLUE CROSS SHIELD
004122389MedicaidCT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040727000302 CT Practitioner - Physical Therapist in Private Practice 7911804638 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Score, LLCGroup PAC ID 0749268175, 7 clinicians

Practice addresses (Care Compare)

1579 Straits Tpke
Middlebury, CT 06762-1841
Phone (203) 577-2002

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as group
Quality
83.33
Improvement activities
40
Cost
91.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003180CTMDClinical Social Worker
PT26204FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Score, LLC Physical Therapist CurrentSince Apr 30, 2003 Accepting new patients
Active Orthopaedics PC Past Accepting new patients

Locations

1579 Straits Tpke
Middlebury, CT 06762
Phone (203) 577-2002

82 Providence St
Putnam, CT 06260
Phone (860) 315-9123

2 Pomperaug Office Park
Ste 303
Southbury, CT 06488
Phone (203) 264-1735

515 Watertown Ave
Waterbury, CT 06708
Phone (203) 755-0370

51 Sherman Hill Rd
Ste A201
Woodbury, CT 06798
Phone (203) 263-3104

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540771200000",
    "number": "1194722967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1579 STRAITS TPKE",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067621835",
            "telephone_number": "203-577-2002",
            "fax_number": "203-577-2006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1579 STRAITS TPKE",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067621835",
            "telephone_number": "203-577-2002",
            "fax_number": "203-577-2006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "82 Providence St",
            "address_purpose": "LOCATION",
            "city": "Putnam",
            "state": "CT",
            "postal_code": "062601530",
            "country_code": "US",
            "telephone_number": "860-315-9123",
            "fax_number": "860-315-9088",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1579 Straits Tpke",
            "address_purpose": "LOCATION",
            "city": "Middlebury",
            "state": "CT",
            "postal_code": "067621835",
            "country_code": "US",
            "telephone_number": "203-577-2002 x13",
            "fax_number": "203-577-2006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "GREGORY",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2018-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT26204",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "003180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS SHIELD",
            "identifier": "080003180CT22",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004122389",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Middlebury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.

Verify at the official NPI Registry.