Individual provider Active NPI

Rachel Erin Presnell-Reck, D.P.T.

  • Physical Therapist
  • Marlborough, CT
National Provider Identifier
1306898820
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007802 Issued in CT
Practice address
14 Jones Hollow Rd Ste 7
Marlborough, CT 06447-1448
Phone
(860) 295-8188
Fax
(860) 295-8976
NPI assigned
May 16, 2006
Last updated
Jul 7, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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 007802 CT Primary

Addresses

Primary practice location

14 Jones Hollow Rd Ste 7
Marlborough, CT 06447-1448

Mailing address

14 Jones Hollow Rd Ste 7
Marlborough, CT 06447-1448
Phone (860) 295-8188

Other identifiers 1

IdentifierTypeStateIssuer
080007802CT05OtherCTBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060111000447 CT Practitioner - Physical Therapist in Private Practice 7911920434 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007802CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ptsma, Inc. Physical Therapist Current Accepting new patients
Ptsma, Inc. Physical Therapist CurrentSince Dec 21, 2020 Accepting new patients
Ptsma Inc CurrentSince Dec 21, 2020 Accepting new patients
Comprehensive Physical Therpy PC Physical Therapist CurrentSince Oct 17, 2005 Accepting new patients
Pinnacle Rehabilitation Network LLC Physical Therapist PastSince Oct 17, 2005 Accepting new patients
Valley Physical Therapy & Sports Medicine Services, P.C. Physical Therapist PastSince Apr 26, 2012 Accepting new patients
Valley Physical Therapy, LLC Past Accepting new patients

Locations

1231 Farmington Ave
Berlin, CT 06037
Phone (860) 827-1333

178 Hartford Rd
Ste 210
Manchester, CT 06040
Phone (860) 646-1561

37 S Broad St
Ste 12
Pawcatuck, CT 06379
Phone (860) 495-1919

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1147737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404691200000",
    "number": "1306898820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 JONES HOLLOW RD STE 7",
            "city": "MARLBOROUGH",
            "state": "CT",
            "postal_code": "064471448",
            "telephone_number": "860-295-8188",
            "fax_number": "860-295-8976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 JONES HOLLOW RD STE 7",
            "city": "MARLBOROUGH",
            "state": "CT",
            "postal_code": "064471448",
            "telephone_number": "860-295-8188",
            "fax_number": "860-295-8976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRESNELL-RECK",
        "first_name": "RACHEL",
        "middle_name": "ERIN",
        "credential": "D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-16",
        "last_updated": "2014-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007802",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "080007802CT05",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.