NPIMap

Organization Active NPI

Preneta Physical Therapy, PC

  • Physical Therapy Clinic/Center
  • Fairfield, CT
National Provider Identifier
1255590675
Registry record updated Aug 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
003438 Issued in CT
Legal business name
PRENETA PHYSICAL THERAPY, PC
Practice address
913 Post Rd
Fairfield, CT 06824-6048
Phone
(203) 259-7177
Fax
(203) 256-9217
NPI assigned
Jun 2, 2008
Last updated
Aug 10, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2023

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

Authorized official

Name
Richard J Preneta, PTNPI 1851376867
Title
Business Owner
Phone
(203) 259-7177

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X NU
Physical Therapy Clinic/Center 261QP2000X 003438 CT Primary

Addresses

Primary practice location

913 Post Rd
Fairfield, CT 06824-6048

Mailing address

913 Post Rd
Fairfield, CT 06824-6048
Phone (203) 259-7177

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20081007000258 CT Part B Supplier - Clinic/Group Practice 0143398933 Receives reassigned benefits from 5 practitioners
Practice locations: Fairfield, CT

National Provider Directory

National Provider Directory

Locations

913 Post Rd
Fairfield, CT 06824
Phone (203) 259-7177

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1212364800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1691625600000",
    "number": "1255590675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246048",
            "telephone_number": "203-259-7177",
            "fax_number": "203-256-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246048",
            "telephone_number": "203-259-7177",
            "fax_number": "203-256-9217"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRENETA PHYSICAL THERAPY, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-02",
        "last_updated": "2023-08-10",
        "certification_date": "2023-08-10",
        "status": "A",
        "authorized_official_last_name": "PRENETA",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS OWNER",
        "authorized_official_telephone_number": "203-259-7177",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CT",
            "license": "003438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.