Stanley Rutkowski, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0195371 Issued in NY

Practice address

333 Post Rd W
Westport, CT 06880-4754

Phone

(203) 422-0679

NPI assigned

Oct 10, 2006

Last updated

Aug 18, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

New York University School of Medicine, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Performance Physical Therapy of Westport LLCGroup PAC ID 2567698756, 6 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Performance Physical Therapy of Westport LLC

  • Physical Therapist
  • Westport, CT
  • NPI 1972809036
  Medicare reassignment Care Compare group NPD
• Performance Physical Therapy of Darien LLC

  • Physical Therapist
  • Darien, CT
  • NPI 1548630189
  Medicare reassignment NPD
• Performance Physical Therapy of New Canaan, PLLC

  dba Performance Physical Therapy and Wellness

  • Physical Therapy Clinic/Center
  • New Canaan, CT
  • NPI 1194282004

  Physical Therapist

  Medicare reassignment NPD
• Greenwich Sports Medicine at Twin Rinks LLC

  • Sports Physician Chiropractor
  • Stamford, CT
  • NPI 1285184655
  NPD (past)
• Sports Therapy and Rehabilitation, Ptot

  • Physical Therapist
  • Pomona, NY
  • NPI 1013022953
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471478400000",
    "number": "1245327105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 RIVER RD",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068072759",
            "telephone_number": "203-422-0679",
            "fax_number": "203-422-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 POST RD W",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804754",
            "telephone_number": "203-422-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUTKOWSKI",
        "first_name": "STANLEY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-10",
        "last_updated": "2016-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0195371",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "8998",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00218226",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rumi Mind Health Providers of CT
• Maria Russo-Appel, M.D.
• Joseph Abel Russo, M.D.
• Kaylee Victoria Rutchik, LCSW
• Anne Fuller Rutherford, APRN
• Lisa M. Ryan, L.P.C., M.A.
• Steven W Ryder, M.D.
• Christine Ellen Sacane, LMSW
• Kristi A Sacco, PSY.D.
• Diane Stein Safran, MS, LMFT, ATR-BC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 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.