Active NPI
Bianchini Physical Therapy, LLC
- Physical Therapist
- Prospect, CT
National Provider Identifier
1275772162
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- BIANCHINI PHYSICAL THERAPY, LLC
- Practice address
- 44 Waterbury Rd
Ste 1C
Prospect, CT 06712-1242 - Phone
- (203) 758-5040
- Fax
- (203) 758-5042
- NPI assigned
- Feb 17, 2009
- Last updated
- May 21, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- John D Bianchini, DPT
- Title
- Member
- Phone
- (203) 758-5040
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | NU | Primary |
Addresses
Primary practice location
44 Waterbury Rd
Ste 1C
Prospect, CT 06712-1242
Mailing address
PO Box 7205
Prospect, CT 06712-0205
Phone (203) 758-5040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080007742CT06 | Other | CT | ANTHEM BC BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
44 Waterbury Rd
Ste 1C
Prospect, CT 06712
Phone (203) 758-5040
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Prospect, CT
- NPI 1073585386
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1234828800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1369094400000",
"number": "1275772162",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7205",
"city": "PROSPECT",
"state": "CT",
"postal_code": "067120205",
"telephone_number": "203-758-5040",
"fax_number": "203-758-5042"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 WATERBURY RD",
"address_2": "STE 1C",
"city": "PROSPECT",
"state": "CT",
"postal_code": "067121242",
"telephone_number": "203-758-5040",
"fax_number": "203-758-5042"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BIANCHINI PHYSICAL THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2009-02-17",
"last_updated": "2013-05-21",
"status": "A",
"authorized_official_last_name": "BIANCHINI",
"authorized_official_first_name": "JOHN",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "MEMBER",
"authorized_official_telephone_number": "203-758-5040",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC BS",
"identifier": "080007742CT06",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prospect, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.