Active NPI
Maredith E. Spector, PT
- Physical Therapist
- Danbury, CT
National Provider Identifier
1255386892
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 003200
- Practice address
- 20 Germantown Rd
2ND Floor
Danbury, CT 06810-5023 - Phone
- (203) 798-6523
- Fax
- (203) 798-0393
- NPI assigned
- May 23, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 003200 | CT | Primary |
Addresses
Primary practice location
20 Germantown Rd
2ND Floor
Danbury, CT 06810-5023
Mailing address
31 Old Route 7
Credentialing Dept
Brookfield, CT 06804-1714
Phone (203) 740-0020
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080003200CT01 | Other | CT | ANTHEM BC RIDGEFIELD |
| 080003200CT04 | Other | CT | ANTHEM BC-DANBURY |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3200 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Danbury Radiological Associates, PC | Past | Accepting new patients | |
| Danbury Hospital | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Danbury Hospital DBA New Milford Hospital
- General Acute Care Hospital
- New Milford, CT
- NPI 1619938016
-
- Diagnostic Radiology Physician
- Danbury, CT
- NPI 1639164106
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1184025600000",
"number": "1255386892",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 OLD ROUTE 7",
"address_2": "CREDENTIALING DEPT",
"city": "BROOKFIELD",
"state": "CT",
"postal_code": "068041714",
"telephone_number": "203-740-0020",
"fax_number": "203-775-0238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20 GERMANTOWN RD",
"address_2": "2ND FLOOR",
"city": "DANBURY",
"state": "CT",
"postal_code": "068105023",
"telephone_number": "203-798-6523",
"fax_number": "203-798-0393"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPECTOR",
"first_name": "MAREDITH",
"middle_name": "E.",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-23",
"last_updated": "2007-07-10",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "003200",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC RIDGEFIELD",
"identifier": "080003200CT01",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC-DANBURY",
"identifier": "080003200CT04",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Danbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.