Anthony Todt, MSPT CSCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6462 Issued in CT

Practice address

7 Park Ave
Suite 4
Colchester, CT 06415-1128

Phone

(860) 917-6536

Fax

(860) 267-6296

NPI assigned

Mar 6, 2007

Last updated

Feb 25, 2013By the provider in NPPES

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Performance Edge Sports, LLC

  dba Family Physical Therapy

  • Physical Therapist
  • Colchester, CT
  • NPI 1437307485
  Authorized official Same address or phone

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

{
    "created_epoch": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361750400000",
    "number": "1356471049",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 PARK AVE",
            "address_2": "SUITE 4",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151128",
            "telephone_number": "860-917-6536",
            "fax_number": "860-267-6296"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7 PARK AVE",
            "address_2": "SUITE 4",
            "city": "COLCHESTER",
            "state": "CT",
            "postal_code": "064151128",
            "telephone_number": "860-917-6536",
            "fax_number": "860-267-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TODT",
        "first_name": "ANTHONY",
        "credential": "MSPT CSCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-06",
        "last_updated": "2013-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "6462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "080001245CT03",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "567709",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2V8297",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "35501",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melinda Tarbell, MSOTR/L
• Bella Tenenbaum, PMHNP-BC
• The Nurse's Office Primary Care and Walk-in Center, LLC
• The Stop & Shop Supermarket Company LLC (Stop and Shop Pharmacy #608)
• Gail June Tittle
• Town of Colchester (Colchester Fire Department)
• Tranquil Medical Supplies
• Jeremy Tulledge Mitchell, PT
• Turn 2 Me Counseling, LLC
• Sarah Louise Tyler, APRN

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.