Brian Elmo, M.P.T., A.T.C., C.S.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

006539 Issued in CT

Practice address

166 East Ave
Suite 202
Norwalk, CT 06851-5725

Phone

(203) 957-8162

Fax

(203) 957-8165

NPI assigned

Apr 8, 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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Total Body Physical Therapy, LLPGroup PAC ID 0648569533, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Total Body Physical Therapy, LLP

  • Physical Therapist
  • Norwalk, CT
  • NPI 1083075832
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1144454400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1215990551",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "166 EAST AVE",
            "address_2": "SUITE 202",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515725",
            "telephone_number": "203-957-8162",
            "fax_number": "203-957-8165"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 EAST AVE",
            "address_2": "SUITE 202",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068515725",
            "telephone_number": "203-957-8162",
            "fax_number": "203-957-8165"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ELMO",
        "first_name": "BRIAN",
        "name_prefix": "Mr.",
        "credential": "M.P.T., A.T.C., C.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-08",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "006539",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHCS",
            "identifier": "9077328",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7488045",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2016; 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.