Individual provider Active NPI

Karen Dobosz, PT

  • Physical Therapist
  • Milford, CT
National Provider Identifier
1356479174
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1245 Issued in CT
Practice address
60 Commerce Park
Shoreline Physical Therapy & Sports Medicine
Milford, CT 06460-3506
Phone
(203) 876-7316
Fax
(203) 876-0041
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1245 CT Primary

Addresses

Primary practice location

60 Commerce Park
Shoreline Physical Therapy & Sports Medicine
Milford, CT 06460-3506

Mailing address

60 Commerce Park
Shoreline Physical Therapy & Sports Medicine
Milford, CT 06460
Phone (203) 876-7316

Other identifiers 6

IdentifierTypeStateIssuer
ANC1326OtherCTOXFORD
AETNAOtherCT567709
080001245CT03OtherCTBLUE CROSS BLUE SHIELD
35501OtherCTCIGNA
061420213OtherCTUNITED HEALTH CARE
2V8297OtherCTHEALTHNET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Integrated Rehabilitation Services, LLC Physical Therapist CurrentSince Mar 18, 2019 Accepting new patients
Family Care Visiting Nurse & Home Health Care Agency, LLC PastSince Jan 11, 2016 Accepting new patients

Locations

103 E Main St
Unit C
Plainville, CT 06062
Phone (860) 517-8885

58 W Stafford Rd
Stafford Springs, CT 06076
Phone (860) 684-6528

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1356479174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "60 COMMERCE PARK",
            "address_2": "SHORELINE PHYSICAL THERAPY & SPORTS MEDICINE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "06460",
            "telephone_number": "203-876-7316",
            "fax_number": "203-876-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 COMMERCE PARK",
            "address_2": "SHORELINE PHYSICAL THERAPY & SPORTS MEDICINE",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603506",
            "telephone_number": "203-876-7316",
            "fax_number": "203-876-0041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOBOSZ",
        "first_name": "KAREN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "1245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "ANC1326",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "567709",
            "identifier": "AETNA",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "080001245CT03",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "35501",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "061420213",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2V8297",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.