Individual provider Active NPI

Brittany Panuzio, SPEECH THERAPIST

  • Speech-Language Pathologist
  • Cheshire, CT
National Provider Identifier
1376210823
Registry record updated Aug 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Practice address
382 S Main St
Cheshire, CT 06410-1379
Phone
(203) 250-9663
Fax
(203) 699-9641
NPI assigned
Aug 24, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language Pathologist 235Z00000X Primary

Addresses

Primary practice location

382 S Main St
Cheshire, CT 06410-1379

Mailing address

382 S Main St
Cheshire, CT 06410-1379
Phone (203) 250-9663

Other practice location 1

1064 E Main St
Meriden, CT 06450-4898
Phone (203) 440-3750

Other practice location 2

308 Racebrook Road, Unit a
Orange, CT 06477-0647
Phone (203) 920-1885

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250811001154 CT Practitioner - Qualified Speech Language Pathologist 1355849258 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
7035CTMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Preferred Therapy Outpatient Services, LLC Speech-Language Pathologist CurrentSince May 4, 2025 Accepting new patients
Cheshire Fitness Zone, LLC Speech-Language Pathologist CurrentSince Aug 29, 2021 Accepting new patients
Preferred Therapy Outpatient Services, LLC Speech-Language Pathologist CurrentSince May 4, 2025 Accepting new patients

Locations

382 S Main St
Cheshire, CT 06410

1064 E Main St
Meriden, CT 06450
Phone (203) 235-9622

3 Farm Rd
New Canaan, CT 06840
Phone (203) 594-5200

308 Racebrook Rd
Unit A
Orange, CT 06477
Phone (203) 920-1885

157 Litchfield St
Torrington, CT 06790
Phone (860) 489-1328

850 Silas Deane Hwy
Fl 2
Wethersfield, CT 06109
Phone (860) 610-0400

Organizations & group practices 3

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": "1629763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629763200000",
    "number": "1376210823",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "382 S MAIN ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064101379",
            "telephone_number": "203-250-9663",
            "fax_number": "203-699-9641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "382 S MAIN ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064101379",
            "telephone_number": "203-250-9663",
            "fax_number": "203-699-9641"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1064 E Main St",
            "address_purpose": "LOCATION",
            "city": "Meriden",
            "state": "CT",
            "postal_code": "064504898",
            "country_code": "US",
            "telephone_number": "203-440-3750",
            "fax_number": "203-250-9663",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "308 RACEBROOK ROAD, UNIT A",
            "address_purpose": "LOCATION",
            "city": "Orange",
            "state": "CT",
            "postal_code": "064770647",
            "country_code": "US",
            "telephone_number": "203-920-1885",
            "fax_number": "203-920-1881",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANUZIO",
        "first_name": "BRITTANY",
        "credential": "SPEECH THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-24",
        "last_updated": "2021-08-24",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2021; 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.