Organization Active NPI

Southbury Physical Therapy

  • Physical Therapist
  • Southbury, CT
National Provider Identifier
1366313330
Registry record updated Nov 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SOUTHBURY PHYSICAL THERAPY
Practice address
100 Main St N Unit 205
Southbury, CT 06488-3842
Phone
(603) 303-2390
Fax
(603) 580-3318
NPI assigned
Sep 15, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 26, 2025

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

Authorized official

Name
Gregory Schiller, DPTNPI 1144538935
Title
Owner
Phone
(516) 361-0148

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

100 Main St N Unit 205
Southbury, CT 06488-3842

Mailing address

352 Cobbler LN
Southbury, CT 06488-4641
Phone (516) 361-0148

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20251129000074 CT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 7618460502 Receives reassigned benefits from 1 practitioner
Practice locations: Southbury, CT

National Provider Directory

National Provider Directory

Locations

100 Main St N
Unit 2055
Southbury, CT 06488

100 Main St N
Unit 205
Southbury, CT 06488
Phone (603) 303-2390

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1757894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764115200000",
    "number": "1366313330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "352 COBBLER LN",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064884641",
            "telephone_number": "516-361-0148",
            "fax_number": "603-589-5075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MAIN ST N UNIT 205",
            "city": "SOUTHBURY",
            "state": "CT",
            "postal_code": "064883842",
            "telephone_number": "603-303-2390",
            "fax_number": "603-580-3318"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHBURY PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-15",
        "last_updated": "2025-11-26",
        "certification_date": "2025-11-26",
        "status": "A",
        "authorized_official_last_name": "SCHILLER",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "516-361-0148",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.