Individual provider Active NPI

Bianca Cantwell, PT,DPT

  • Physical Therapist
  • Canterbury, CT
National Provider Identifier
1336520485
Registry record updated Aug 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
009736 Issued in CT
Practice address
180 Westminster Rd
Canterbury, CT 06331-1431
Phone
(860) 556-9395
Fax
(860) 556-9396
NPI assigned
Jun 15, 2015
Last updated
Aug 4, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 4, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3985 NH
Physical Therapist 225100000X 009736 CT Primary

Addresses

Primary practice location

180 Westminster Rd
Canterbury, CT 06331-1431

Mailing address

PO Box 483
Canterbury, CT 06331-0483
Phone (860) 556-9395

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210210002318 AZ Practitioner - Physical Therapist in Private Practice 4688988140 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kinect Physical Therapy PLLCGroup PAC ID 3476713009, 46 clinicians

Practice addresses (Care Compare)

20 S Main St
Florence, AZ 85132-0140
Phone (520) 868-0098

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
31544AZMDPsychiatry Physician
009736CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
DPT Holdings, LLC Physical Therapist CurrentSince Sep 1, 2025 Accepting new patients
Kinect Physical Therapy, PLLC Physical Therapist CurrentSince Dec 1, 2020 Accepting new patients

Locations

950 E Riggs Rd
Ste 1
Chandler, AZ 85249
Phone (480) 802-8730

11851 N 51st Ave
Unit 110
Glendale, AZ 85304

21300 N John Wayne Pkwy
Ste 107
Maricopa, AZ 85139
Phone (480) 899-9829

4050 E Cotton Center Blvd
Ste 18
Phoenix, AZ 85040
Phone (480) 653-8200

8410 W Thomas Rd
Ste 136
Phoenix, AZ 85037
Phone (623) 247-4478

Organizations & group practices 3

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": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470268800000",
    "number": "1336520485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 483",
            "city": "CANTERBURY",
            "state": "CT",
            "postal_code": "063310483",
            "telephone_number": "860-556-9395",
            "fax_number": "860-556-9396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 WESTMINSTER RD",
            "city": "CANTERBURY",
            "state": "CT",
            "postal_code": "063311431",
            "telephone_number": "860-556-9395",
            "fax_number": "860-556-9396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CANTWELL",
        "first_name": "BIANCA",
        "name_prefix": "Miss",
        "credential": "PT,DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2016-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NH",
            "license": "3985",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "009736",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2016; 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.