Individual provider Active NPI

Phillip Ruggiero, DC

  • Chiropractor
  • Glastonbury, CT
National Provider Identifier
1235860875
Registry record updated Aug 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2257 Issued in CT
Practice address
49 Welles St Ste 215
Glastonbury, CT 06033-4205
Phone
(860) 966-8791
NPI assigned
Jun 23, 2022
Last updated
Aug 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 002257 CT
Chiropractor 111N00000X 2257 CT Primary

Addresses

Primary practice location

49 Welles St Ste 215
Glastonbury, CT 06033-4205

Mailing address

2016 Hebron Ave
Glastonbury, CT 06033-2636
Phone (732) 977-4733

Other practice location 1

110 Court St Ste 1C
Cromwell, CT 06416-1273
Phone (203) 802-3399

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220708001005 CT Practitioner - Chiropractic 5294115200 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

110 Court St
Suite 1C
Cromwell, CT 06416-1273
Phone (203) 533-2240

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
002257CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Weiss & Ruggiero Chiropractic and Neurology Center LLC Chiropractor CurrentSince May 28, 2024 Accepting new patients
Totalvision Eye Health Center LLC Single Specialty PastSince Jun 1, 2022 Accepting new patients

Locations

110 Court St
Ste 1C
Cromwell, CT 06416
Phone (203) 533-2240

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1655942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724112000000",
    "number": "1235860875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2016 HEBRON AVE",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332636",
            "telephone_number": "732-977-4733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "49 WELLES ST STE 215",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060334205",
            "telephone_number": "860-966-8791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "110 Court St Ste 1C",
            "address_purpose": "LOCATION",
            "city": "Cromwell",
            "state": "CT",
            "postal_code": "064161273",
            "country_code": "US",
            "telephone_number": "203-802-3399",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RUGGIERO",
        "first_name": "PHILLIP",
        "credential": "DC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-06-23",
        "last_updated": "2024-08-20",
        "certification_date": "2024-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "002257",
            "primary": false
        },
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "2257",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2024; 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.