Individual provider Active NPI

Laura M Nietch, PT

  • Physical Therapist
  • Torrington, CT
National Provider Identifier
1285642900
Registry record updated Jun 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006617 Issued in CT
Practice address
245 Alvord Park Road
Suite 2
Torrington, CT 06790-3493
Phone
(860) 496-9851
Fax
(860) 482-4047
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 006617 CT Primary

Addresses

Primary practice location

245 Alvord Park Road
Suite 2
Torrington, CT 06790-3493

Mailing address

245 Alvord Park Road
Suite 2
Torrington, CT 06790-3493
Phone (860) 496-9851

Other identifiers 2

IdentifierTypeStateIssuer
004224549MedicaidCT
080006617CT05OtherCTANTHEM BCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111103000384 CT Practitioner - Physical Therapist in Private Practice 4880867050 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Maletta Pfeiffer and Associates, L.L.C.Group PAC ID 0446284178, 9 clinicians

Practice addresses (Care Compare)

245 Alvord Park Rd
Torrington, CT 06790-3493
Phone (860) 496-9851

245 Alvord Park Rd
Torrington, CT 06790-6123

30 Peck Rd
Suite 1101
Torrington, CT 06790-6123
Phone (860) 489-0867

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006617CTMDPhysical Therapist
6617CTMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Maletta Pfeiffer & Associates, L.L.C. CurrentSince May 1, 2013 Accepting new patients
Maletta Pfeiffer & Associates, L.L.C. CurrentSince May 1, 2013 Accepting new patients

Locations

245 Alvord Park Rd
Torrington, CT 06790
Phone (860) 482-8539

245 Alvord Park Rd
Ste 2
Torrington, CT 06790
Phone (860) 496-9851

30 Peck Rd
Ste 1101
Torrington, CT 06790
Phone (860) 489-0867

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371081600000",
    "number": "1285642900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "245 ALVORD PARK ROAD",
            "address_2": "SUITE 2",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903493",
            "telephone_number": "860-496-9851",
            "fax_number": "860-482-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 ALVORD PARK ROAD",
            "address_2": "SUITE 2",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067903493",
            "telephone_number": "860-496-9851",
            "fax_number": "860-482-4047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NIETCH",
        "first_name": "LAURA",
        "middle_name": "M",
        "name_prefix": "Miss",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2013-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "006617",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004224549",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "080006617CT05",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.