Individual provider Active NPI

Christopher Spagnoletti Jr., DPT, ATC, LAT, TPI-1

  • Physical Therapist
  • Woodbury, CT
National Provider Identifier
1366090870
Registry record updated Oct 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12399 Issued in CT
Practice address
51 Sherman Hill Rd
Woodbury, CT 06798-3648
Phone
(203) 263-3104
Fax
(203) 263-4050
NPI assigned
Aug 28, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 11, 2019

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 12399 CT Primary

Addresses

Primary practice location

51 Sherman Hill Rd
Woodbury, CT 06798-3648

Mailing address

1579 Straits Tpke
Middlebury, CT 06762-1835
Phone (860) 274-3376

Other practice location 1

1579 Straits Tpke
Middlebury, CT 06762-1835
Phone (203) 577-2002

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191010000482 CT Practitioner - Physical Therapist in Private Practice 2567793227 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Score, LLC 7 clinicians

Practice addresses (Care Compare)

1579 Straits Tpke
Middlebury, CT 06762-1841
Phone (203) 577-2002

Merit-based Incentive Payment System (MIPS)

Final score
90.77 of 100Reported as group
Quality
83.33
Improvement activities
40
Cost
91.44

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Physical Therapy, LLC Physical Therapist CurrentSince Oct 1, 2019 Accepting new patients
Score, LLC Physical Therapist CurrentSince Oct 1, 2019 Accepting new patients

Locations

1579 Straits Tpke
Middlebury, CT 06762
Phone (203) 577-2002

2 Pomperaug Office Park
Ste 303
Southbury, CT 06488
Phone (203) 264-1735

51 Sherman Hill Rd
Ste A201
Woodbury, CT 06798
Phone (203) 263-3104

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": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570752000000",
    "number": "1366090870",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1579 STRAITS TPKE",
            "city": "MIDDLEBURY",
            "state": "CT",
            "postal_code": "067621835",
            "telephone_number": "860-274-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SHERMAN HILL RD",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067983648",
            "telephone_number": "203-263-3104",
            "fax_number": "203-263-4050"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1579 Straits Tpke",
            "address_purpose": "LOCATION",
            "city": "Middlebury",
            "state": "CT",
            "postal_code": "067621835",
            "country_code": "US",
            "telephone_number": "203-577-2002",
            "fax_number": "203-577-2060",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SPAGNOLETTI",
        "first_name": "CHRISTOPHER",
        "name_suffix": "Jr.",
        "credential": "DPT, ATC, LAT, TPI-1",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "12399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2019; 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.