Individual provider Active NPI

Rebecca Cyr

  • Physical Therapist
  • Waterbury, CT
National Provider Identifier
1396299335
Registry record updated Aug 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14.011120 Issued in CT
Practice address
8 S Commons Rd
Waterbury, CT 06704-1035
Phone
(203) 759-1229
NPI assigned
Aug 8, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2016

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 14.011120 CT Primary

Addresses

Primary practice location

8 S Commons Rd
Waterbury, CT 06704-1035

Mailing address

116 Rollingview Dr
Vernon, CT 06066-5837
Phone (860) 878-9054

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190507002726 CT Practitioner - Physical Therapist in Private Practice 8123360419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Connecticut Physical Therapy Specialists LLCGroup PAC ID 9638330236, 11 clinicians

Practice addresses (Care Compare)

11 Mill Pond Dr
Granby, CT 06035-2628
Phone (860) 413-9969

60 Village PL
Glastonbury, CT 06033-1679
Phone (860) 999-1859

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14.011120CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Physical Therapy Specialists LLC Physical Therapist CurrentSince May 1, 2019 Accepting new patients

Locations

60 Village Pl
Glastonbury, CT 06033
Phone (860) 999-1859

11 Mill Pond Dr
Granby, CT 06035
Phone (860) 413-9969

342 N Main St
Ste 150
West Hartford, CT 06117
Phone (860) 325-7481

Organizations & group practices 1

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": "1470614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470614400000",
    "number": "1396299335",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 ROLLINGVIEW DR",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060665837",
            "telephone_number": "860-878-9054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 S COMMONS RD",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067041035",
            "telephone_number": "203-759-1229"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CYR",
        "first_name": "REBECCA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-08",
        "last_updated": "2016-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "14.011120",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2016; 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.