Carl Remi Mailhot, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

002387 Issued in CT

Practice address

165 Hartford Pike
Dayville, CT 06241-0425

Phone

(860) 779-0150

Fax

(860) 774-2371

NPI assigned

Aug 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

University of Connecticut School of Medicine, 1977

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Eastern Connecticut Rehabilitation CentersGroup PAC ID 2961395173, 12 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Eastern Connecticut Rehabilitation Centers

  • Physical Therapy Clinic/Center
  • Killingly, CT
  • NPI 1952310971
  Medicare reassignment Care Compare group NPD
• Eastern Connecticut Rehabili

  • Physical Therapy Clinic/Center
  • Gales Ferry, CT
  • NPI 1700895729
  NPD Authorized official
• Connecticut Neuropsychological Associates, LLC

  • Clinical Psychologist
  • Norwich, CT
  • NPI 1497151245
  NPD (past)
• Killingly Medical Center LLC

  • Family Medicine Physician
  • Dayville, CT
  • NPI 1609306539
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1306855309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2B LEE RD",
            "city": "LISBON",
            "state": "CT",
            "postal_code": "063513042",
            "telephone_number": "860-376-2564",
            "fax_number": "860-373-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 HARTFORD PIKE",
            "city": "DAYVILLE",
            "state": "CT",
            "postal_code": "062410425",
            "telephone_number": "860-779-0150",
            "fax_number": "860-774-2371"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2B Lee Rd",
            "address_purpose": "LOCATION",
            "city": "Lisbon",
            "state": "CT",
            "postal_code": "063513042",
            "country_code": "US",
            "telephone_number": "860-376-2864",
            "fax_number": "860-376-4812",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MAILHOT",
        "first_name": "CARL",
        "middle_name": "REMI",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "002387",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004050266",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "080002387CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Stacie Licata, LPC-A
• Joshua A Longiaru
• Josephine Ann Maben, LCSW
• Kathleen Mackenzie, APRN
• Amy Melissa Maguda, MSW
• Gina Marie Malloy, MSW
• Stacie Lynn Mandeville, CLD
• Kara K Marnell, MA
• Cheryllynn Matos
• Paul Joseph Matty, MD

• Physical Therapist in Dayville, CT
• Providers in Dayville, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; 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.