Maggie Daingerfield
Individual provider Active NPI Physical Medicine & Rehabilitation Physician · Weatogue, CT
NPI 1245877414 · NPPES record last updated Dec 5, 2019
Key facts
- NPI
- 1245877414
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Medicine & Rehabilitation Physician 208100000X
- License
- 012306 (CT)
- Practice address
- 138 Hopmeadow St
Weatogue, CT 06089-9793 - Phone
- (860) 413-2073
- NPI assigned
- Dec 5, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
138 Hopmeadow St
Weatogue, CT 06089-9793
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 012306 | CT | MD | Physical Medicine & Rehabilitation Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Live Every Day LLC | Current |
Accepting new patients | |
| Live Every Day L.L.C | Past | Accepting new patients |
Locations
68 Bridge St
Unit 111
Suffield, CT 06078
Phone (860) 254-5190
768 South St
Suffield, CT 06078
Phone (860) 254-5190
138 Hopmeadow St
Weatogue, CT 06089
Phone (860) 413-2073
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 208100000X | 012306 | CT | Yes |
Addresses
Primary practice location
138 Hopmeadow St
Weatogue, CT 06089-9793
Mailing address
138 Hopmeadow St
Weatogue, CT 06089-9793
Phone (860) 413-2073
Other providers in Weatogue, CT
- Matthew Chere
- Fletcher Comment
- Karen Maria Corriveau
- Tricia Rose Cummings
- D&M Health and Aesthetics PLLC
- Anthony Harry Debe
- Kristyn Deconti
- Katy Diamond
- Elizabeth Angela Dimeo
- DTDC LLC
All providers in Weatogue, CT · Physical Medicine & Rehabilitation Physician in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 5, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.