Organization Active NPI

Spargo Physical Therapy LLC

  • Physical Therapist
  • Bristol, CT
National Provider Identifier
1366909541
Registry record updated Apr 4, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPARGO PHYSICAL THERAPY LLC
Practice address
665 Terryville Ave Unit 1
Bristol, CT 06010-4078
Phone
(860) 921-8325
NPI assigned
Feb 25, 2019
Last updated
Apr 4, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2019

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

Authorized official

Name
Molly Spargo, DPT
Title
Owner/Physical Therapist
Phone
(860) 921-8325

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

665 Terryville Ave Unit 1
Bristol, CT 06010-4078

Mailing address

665 Terryville Ave Unit 1
Bristol, CT 06010-4078
Phone (860) 921-8325

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20190502001436 CT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6507108073 Receives reassigned benefits from 3 practitioners
Practice locations: Bristol, CT

National Provider Directory

National Provider Directory

Locations

665 Terryville Ave
Ste 1
Bristol, CT 06010
Phone (860) 921-8325

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1551052800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554336000000",
    "number": "1366909541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "665 TERRYVILLE AVE UNIT 1",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104078",
            "telephone_number": "860-921-8325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "665 TERRYVILLE AVE UNIT 1",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060104078",
            "telephone_number": "860-921-8325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPARGO PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-25",
        "last_updated": "2019-04-04",
        "status": "A",
        "authorized_official_last_name": "SPARGO",
        "authorized_official_first_name": "MOLLY",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "860-921-8325",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bristol, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2019; 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.