Individual provider Active NPI

Geoffrey Hulse, DPT

  • Physical Therapist
  • Suffield, CT
National Provider Identifier
1336810266
Registry record updated Jan 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
230 Mountain Road
FL 2
Suffield, CT 06078
Phone
(860) 668-9589
NPI assigned
Sep 21, 2021
Last updated
Jan 28, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2022

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 Primary

Addresses

Primary practice location

230 Mountain Road
FL 2
Suffield, CT 06078

Mailing address

435 Hartford Tpke Ste U
Vernon, CT 06066-4834
Phone (860) 979-1611

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, CT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211022000791 MA Practitioner - Physical Therapist in Private Practice 8921496050 Reassigns benefits to 1 organization
I20220126001658 CT Practitioner - Physical Therapist in Private Practice 8921496050 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Integrated Rehabilitation Services Limited PartnershipGroup PAC ID 8426428129, 49 clinicians

Practice addresses (Care Compare)

693 Bloomfield Ave
Suite 202
Bloomfield, CT 06002-2489
Phone (860) 242-8427

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13404CTMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehabilitation Services, LLC Physical Therapist CurrentSince Jan 1, 2022 Accepting new patients
Integrated Rehabilitation Services Limited Partnership Physical Therapist CurrentSince Dec 1, 2022 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Aug 19, 2021 Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist Current Accepting new patients
Performance Rehabilitation of Western New England LLC Physical Therapist CurrentSince Aug 19, 2021 Accepting new patients

Locations

693 Bloomfield Ave
Ste 202
Bloomfield, CT 06002
Phone (860) 242-8427

230 Mountain Rd
Fl 2
Suffield, CT 06078
Phone (860) 668-9589

435 Hartford Tpke
Ste U
Vernon Rockville, CT 06066
Phone (860) 870-8272

790 Remington Blvd
Bolingbrook, IL 60440

101 University Dr
Ste A6
Amherst, MA 01002
Phone (413) 336-5703

168 Denslow Rd
East Longmeadow, MA 01028
Phone (413) 526-9924

Organizations & group practices 5

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": "1632182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643328000000",
    "number": "1336810266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 HARTFORD TPKE STE U",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664834",
            "telephone_number": "860-979-1611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 MOUNTAIN ROAD",
            "address_2": "FL 2",
            "city": "SUFFIELD",
            "state": "CT",
            "postal_code": "06078",
            "telephone_number": "860-668-9589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HULSE",
        "first_name": "GEOFFREY",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-09-21",
        "last_updated": "2022-01-28",
        "certification_date": "2022-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Suffield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2022; 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.