Individual provider Active NPI

Pamela D Markert, PT

  • Physical Therapist
  • New Britain, CT
National Provider Identifier
1285647560
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
003469 Issued in CT
Practice address
195 W Main St
New Britain, CT 06052-1318
Phone
(860) 225-0674
Fax
(860) 223-0033
NPI assigned
Aug 15, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 003469 CT Primary
Physical Therapist 225100000X 019380-1 NY
Physical Therapist 225100000X AH 5584-PT MA

Addresses

Primary practice location

195 W Main St
New Britain, CT 06052-1318

Mailing address

99 Wilson Pond Rd
Harwinton, CT 06791-2814
Phone (860) 485-0830

Other identifiers 1

IdentifierTypeStateIssuer
08000469CT02OtherCTANTHEM BC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003469CTMDClinical Psychologist
AH 5584-PTMAMDPhysical Therapist
019380-1NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Wilbert & Associates Physical Therapy Physical Therapist Past Accepting new patients

Organizations & group practices 1

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": "1155600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1285647560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "99 WILSON POND RD",
            "city": "HARWINTON",
            "state": "CT",
            "postal_code": "067912814",
            "telephone_number": "860-485-0830"
        },
        {
            "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": "860-223-0033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKERT",
        "first_name": "PAMELA",
        "middle_name": "D",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "003469",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "019380-1",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "AH 5584-PT",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "08000469CT02",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Jul 8, 2007; 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.