Individual provider Active NPI

Joanna Aleksiejuk, RPT

  • Physical Therapist
  • Hamden, CT
National Provider Identifier
1386685279
Registry record updated Sep 21, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
005370 Issued in CT
Practice address
2543 Dixwell Avenue
Hamden, CT 06514-4028
Phone
(203) 248-2400
Fax
(203) 248-9778
NPI assigned
Jun 9, 2006
Last updated
Sep 21, 2009By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2009

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 005370 CT Primary

Addresses

Primary practice location

2543 Dixwell Avenue
Hamden, CT 06514-4028

Mailing address

2543 Dixwell Ave
Hamden, CT 06514-1860
Phone (203) 248-2400

Other identifiers 7

IdentifierTypeStateIssuer
080005370CTOtherCTANTHEM BLUE CROSS
P595234OtherCTOXFORD HEALTHPLAN
19002OtherCTCIGNA-ORTHONET
2V2317OtherCTHEALTHNET
20-1237459OtherCTTAX IDENIFICATION NUMBER
3552074OtherCTAETNA
P00218724OtherCTRR MEDICARE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040707000734 CT Practitioner - Physical Therapist in Private Practice 9739166786 Reassigns benefits to 1 organization
Practice locations: Hamden, CT; West Haven, CT

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sportsmed PT of Connecticut PLLCGroup PAC ID 5395134852, 11 clinicians

Practice addresses (Care Compare)

2543 Dixwell Ave
Hamden, CT 06514-1860
Phone (203) 248-2400

764 Campbell Ave
Suite D
West Haven, CT 06516-3786
Phone (203) 909-6470

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005370CTMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy & Rehabilitation Center LLC Physical Therapist PastSince Jan 1, 1990 Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1253491200000",
    "number": "1386685279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2543 DIXWELL AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065141860",
            "telephone_number": "203-248-2400",
            "fax_number": "203-248-9778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2543 DIXWELL AVENUE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065144028",
            "telephone_number": "203-248-2400",
            "fax_number": "203-248-9778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALEKSIEJUK",
        "first_name": "JOANNA",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2009-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "005370",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS",
            "identifier": "080005370CT",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD HEALTHPLAN",
            "identifier": "P595234",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA-ORTHONET",
            "identifier": "19002",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2V2317",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX IDENIFICATION NUMBER",
            "identifier": "20-1237459",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3552074",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00218724",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2009; 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.