NPIMap

Organization Active NPI

Ivyrehab Connecticut, Inc.

  • Physical Therapist
  • Old Greenwich, CT
National Provider Identifier
1265799365
Registry record updated Feb 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
IVYREHAB CONNECTICUT, INC.
Practice address
143 Sound Beach Ave
Suite 100
Old Greenwich, CT 06870-1736
Phone
(866) 489-7342
Fax
(631) 580-5222
NPI assigned
Apr 13, 2012
Last updated
Feb 12, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2026

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

Authorized official

Name
Ashley Griffiths
Title
Sr. Director of Provider Relations
Phone
(732) 678-6119

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

143 Sound Beach Ave
Suite 100
Old Greenwich, CT 06870-1736

Mailing address

1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120711000223 CT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8325203649 Receives reassigned benefits from 101 practitioners
Practice locations: West Hartford, CT; Waterbury, CT; Brookfield, CT; Wallingford, CT; Suffield, CT; Southport, CT; Southington, CT; Shelton, CT…

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

55 Climax Rd
Ste 120
Avon, CT 06001
Phone (860) 703-8505

9 Tunxis Ave
Bloomfield, CT 06002
Phone (203) 404-5943

3 Federal Rd
Brookfield, CT 06804
Phone (203) 456-1010

95 Elm St
Ste 4
Enfield, CT 06082

2520 Main St
Ste B
Glastonbury, CT 06033
Phone (860) 430-8383

1919 Boston Post Rd
Ste 208
Guilford, CT 06437
Phone (203) 533-6330

2335 Dixwell Ave
Ste H3
Hamden, CT 06514
Phone (203) 883-0330

90 Washington St
Norwalk, CT 06854
Phone (475) 273-0583

38A Grove St
Ste 301
Ridgefield, CT 06877
Phone (203) 881-6339

385 Bridgeport Ave
Shelton, CT 06484
Phone (475) 882-1440

3683 Post Rd
Southport, CT 06890
Phone (475) 209-8900

226 Mountain Rd
Suffield, CT 06078
Phone (860) 901-2097

500 Chase Pkwy
Fl 1
Waterbury, CT 06708
Phone (203) 754-2266

1445 New Britain Ave
Ste 1397
West Hartford, CT 06110
Phone (860) 629-0860

Practitioners & affiliated clinicians

Practitioners 120

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.

View all 120

NPI Registry JSON

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

{
    "created_epoch": "1334275200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770854400000",
    "number": "1265799365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "143 SOUND BEACH AVE",
            "address_2": "SUITE 100",
            "city": "OLD GREENWICH",
            "state": "CT",
            "postal_code": "068701736",
            "telephone_number": "866-489-7342",
            "fax_number": "631-580-5222"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IVYREHAB CONNECTICUT, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-13",
        "last_updated": "2026-02-12",
        "certification_date": "2026-02-12",
        "status": "A",
        "authorized_official_last_name": "GRIFFITHS",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "SR. DIRECTOR OF PROVIDER RELATIONS",
        "authorized_official_telephone_number": "732-678-6119"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Old Greenwich, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2026; 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.