Organization Active NPI

Stango Physical Therapy at Home, LLC

  • Physical Therapist
  • Watertown, CT
National Provider Identifier
1407343890
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008214 Issued in CT
Legal business name
STANGO PHYSICAL THERAPY AT HOME, LLC
Practice address
58 Loop Rd
Watertown, CT 06795-1552
Phone
(203) 206-4576
Fax
(860) 417-2457
NPI assigned
Apr 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Authorized official

Name
Daniel C. Stango, MSPT
Title
Owner
Phone
(203) 206-4576

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 008214 CT Primary

Addresses

Primary practice location

58 Loop Rd
Watertown, CT 06795-1552

Mailing address

58 Loop Rd
Watertown, CT 06795-1552
Phone (203) 206-4576

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524182400000",
    "number": "1407343890",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 LOOP RD",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067951552",
            "telephone_number": "203-206-4576",
            "fax_number": "860-417-2457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 LOOP RD",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067951552",
            "telephone_number": "203-206-4576",
            "fax_number": "860-417-2457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANGO PHYSICAL THERAPY AT HOME, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-20",
        "last_updated": "2018-04-20",
        "status": "A",
        "authorized_official_last_name": "STANGO",
        "authorized_official_first_name": "DANIEL",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-206-4576",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "008214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watertown, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.