Active NPI
Stango Physical Therapy at Home, LLC
- Physical Therapist
- Watertown, CT
National Provider Identifier
1407343890
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 008214
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 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 DirectoryNPI 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.