Kevin T Tucker, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

12759 Issued in CT

Practice address

881 New Harwinton Rd
Torrington, CT 06790-5948

Phone

(860) 482-0600

Fax

(860) 482-0601

NPI assigned

Sep 15, 2020

Last updated

Sep 15, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Professional Occupational and Physical Therapy, PLLCGroup PAC ID 3779873401, 497 clinicians

Advanced Physical Therapy, LLCGroup PAC ID 7315020005, 23 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advanced Physical Therapy, LLC

  • Physical Therapist
  • Wolcott, CT
  • NPI 1861677262
  Medicare reassignment Care Compare group NPD
• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Darien, CT
  • NPI 1629528120
  Medicare reassignment Care Compare group
• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Southport, CT
  • NPI 1073063574

  Physical Therapist

  NPD
• Professional Occupational & Physical Therapy, PLLC

  • Occupational Therapist
  • Randolph, NJ
  • NPI 1104376680

  Physical Therapist

  NPD
• Community Physical Therapy

  dba Advanced Physical Therapy

  • Physical Therapist
  • Wolcott, CT
  • NPI 1528275872
  NPD (past)

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600128000000",
    "number": "1386259307",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 WOLCOTT RD",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162613",
            "telephone_number": "203-879-0107",
            "fax_number": "203-879-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "881 NEW HARWINTON RD",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067905948",
            "telephone_number": "860-482-0600",
            "fax_number": "860-482-0601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUCKER",
        "first_name": "KEVIN",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "12759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Barbara J Tousey, MSN, APRN, FNP-C
• Allison Townsend, LPCA
• Joseph Trahan, LPC
• Douglas S Traub Jr., DMD
• Darlene Patricia Tsopanides, LPN
• Jacob Eli Tulipan, MD
• Catherine Turner
• Unity Dental Torrington LLC (South Main Dental)
• Steven Michael Uricheck
• Usv Optical Inc.

• Physical Therapist in Torrington, CT
• Providers in Torrington, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.