Amy Haggerty, PT DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

13250 Issued in CT

Practice address

101 Phoenix Ave Ste 2D
Enfield, CT 06082-4448

Phone

(860) 741-2541

NPI assigned

Aug 18, 2021

Sex

Female

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 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Grey Physical Therapy and Sports Medicine Center of Enfield, PCGroup PAC ID 0840242384, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.66 of 100Reported as group

Quality

87.71

Improvement activities

40

Cost

71.91

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.

• Grey Physical Therapy & Sports Medicine Center of Enfield, PC

  • Physical Therapist
  • Enfield, CT
  • NPI 1205918653
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1316613532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 PHOENIX AVE STE 2D",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824448",
            "telephone_number": "860-741-2541"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 PHOENIX AVE STE 2D",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060824448",
            "telephone_number": "860-741-2541"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAGGERTY",
        "first_name": "AMY",
        "credential": "PT DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "13250",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "13250",
            "state": "CT"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "frontdesk@greypt.necoxmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "101 Phoenix Ave Ste 2D",
            "city": "Enfield",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060824448",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Gus J Pappas Theodore J Pappas
• Eveline Gwaabe
• Camille Haddad-Cotton
• Louise P Halle, LMHC
• Hamden Plaza Family Dental, PC
• Julie Handleman
• Patricia M Hanley, LCSW
• Kiene A Hannah

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.