Individual provider Active NPI

PO Priscilla Xu, MD

  • Physical Medicine & Rehabilitation Physician
  • Stamford, CT
National Provider Identifier
1396764924
Registry record updated Dec 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
038587 Issued in CT
Practice address
1 Strawberry Hill CT
Ste L4
Stamford, CT 06902-2532
Phone
(203) 324-7761
NPI assigned
Jul 18, 2006
Last updated
Dec 18, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 038587 CT Primary

Addresses

Primary practice location

1 Strawberry Hill CT
Ste L4
Stamford, CT 06902-2532

Mailing address

1 Strawberry Hill CT
Ste L4
Stamford, CT 06902-2532

Other identifiers 4

IdentifierTypeStateIssuer
1891826053OtherCTMEDICARE NPI
C03678OtherCTMEDICARE PTAN
250000279OtherCTMEDICARE ID-UNSPECIFIED
1396764924OtherCTNPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070517000241 CT Practitioner - Physical Medicine and Rehabilitation 4284731753 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Strawberry Hill CT
L4
Stamford, CT 06902-2532
Phone (203) 324-7761

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
038587CTMDPhysical Medicine & Rehabilitation Physician
038589CTMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rehabilitation Medicine & Acupuncture Center MD LLC Physical Medicine & Rehabilitation CurrentSince Mar 1, 2022 Accepting new patients
Priscilla Xu MD LLC CurrentSince Mar 16, 2007 Accepting new patients
Strawberry Hill Chiropractic PC PastSince Mar 16, 2007 Accepting new patients

Locations

1171 E Putnam Ave
Ste 1
Riverside, CT 06878
Phone (203) 637-7720

1 Strawberry Hill Ct
Ste L4
Stamford, CT 06902
Phone (203) 324-7761

22 5th St
Fl 2
Stamford, CT 06905
Phone (203) 324-7761

32 Strawberry Hill Ct
Stamford, CT 06902
Phone (203) 276-2000

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, 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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734480000000",
    "number": "1396764924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 STRAWBERRY HILL CT",
            "address_2": "STE L4",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 STRAWBERRY HILL CT",
            "address_2": "STE L4",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069022532",
            "telephone_number": "203-324-7761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "XU",
        "first_name": "PO",
        "middle_name": "PRISCILLA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2024-12-18",
        "certification_date": "2024-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CT",
            "license": "038587",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE NPI",
            "identifier": "1891826053",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "C03678",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID-UNSPECIFIED",
            "identifier": "250000279",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1396764924",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.