Individual provider Active NPI

Frederick Scott Valente

  • Physical Therapist
  • Waterbury, CT
National Provider Identifier
1194732495
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004477 Issued in CT
Practice address
22 Tompkins St
Waterbury, CT 06708-1417
Phone
(203) 419-0381
Fax
(203) 419-0389
NPI assigned
Aug 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 004477 CT Primary

Addresses

Primary practice location

22 Tompkins St
Waterbury, CT 06708-1417

Mailing address

115 Marbern LN
Naugatuck, CT 06770-1640
Phone (203) 729-2629

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

LicenseStateTypeSpecialty
004477CTMDAnesthesiologist Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Access Rehab Centers, LLC Physical Therapist Past Accepting new patients
Active Orthopedic Therapy PC Physical Therapist Past Accepting new patients

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": "1154390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1194732495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 MARBERN LN",
            "city": "NAUGATUCK",
            "state": "CT",
            "postal_code": "067701640",
            "telephone_number": "203-729-2629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 TOMPKINS ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067081417",
            "telephone_number": "203-419-0381",
            "fax_number": "203-419-0389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VALENTE",
        "first_name": "FREDERICK",
        "middle_name": "SCOTT",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "004477",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • 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.