Organization Active NPI

Wilbert & Associates Physical Therapy

  • Physical Therapy Clinic/Center
  • New Britain, CT
National Provider Identifier
1265655013
Registry record updated Oct 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
002360 Issued in CT
Legal business name
WILBERT & ASSOCIATES PHYSICAL THERAPY
Doing business as
Keith Wilbert, PT
Practice address
195 W Main St
New Britain, CT 06052-1318
Phone
(860) 225-0674
Fax
(860) 223-3330
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2011

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

Authorized official

Name
Mr. Keith Wilbert, PHYSICAL THERAPIST
Title
Owner
Phone
(860) 225-0674

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 002360 CT Primary

Addresses

Primary practice location

195 W Main St
New Britain, CT 06052-1318

Mailing address

195 W Main St
New Britain, CT 06052-1318
Phone (860) 225-0674

Other identifiers 1

IdentifierTypeStateIssuer
080002360CT02OtherCTANTHEM BLUE CROSS

Other names 1

  • Keith Wilbert, PT Doing business as

National Provider Directory

National Provider Directory

Locations

195 W Main St
New Britain, CT 06052
Phone (860) 225-0674

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1319760000000",
    "number": "1265655013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 W MAIN ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521318",
            "telephone_number": "860-225-0674",
            "fax_number": "860-223-3330"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 W MAIN ST",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521318",
            "telephone_number": "860-225-0674",
            "fax_number": "860-223-3330"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILBERT & ASSOCIATES PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2011-10-28",
        "status": "A",
        "authorized_official_last_name": "WILBERT",
        "authorized_official_first_name": "KEITH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-225-0674",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PHYSICAL THERAPIST"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CT",
            "license": "002360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "080002360CT02",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Keith Wilbert, PT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in New Britain, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.