Organization Active NPI

Accelerated Movement LLC

  • Physical Therapist
  • Ridgefield, CT
National Provider Identifier
1407476203
Registry record updated Apr 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ACCELERATED MOVEMENT LLC
Practice address
5 Copper Beech LN
Ridgefield, CT 06877-3412
Phone
(203) 273-1830
NPI assigned
Apr 21, 2020
Last updated
Apr 21, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 21, 2020

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

Authorized official

Name
Andrea A Delange, PTNPI 1538364658
Title
Owner
Phone
(203) 273-1830

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary

Addresses

Primary practice location

5 Copper Beech LN
Ridgefield, CT 06877-3412

Mailing address

5 Copper Beech LN
Ridgefield, CT 06877-3412
Phone (203) 273-1830

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL andrea.delange.pt@gmail.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20200714003372 CT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 6002239621 Receives reassigned benefits from 1 practitioner
Practice locations: Ridgefield, CT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1587427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587427200000",
    "number": "1407476203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 COPPER BEECH LN",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068773412",
            "telephone_number": "203-273-1830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 COPPER BEECH LN",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068773412",
            "telephone_number": "203-273-1830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACCELERATED MOVEMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-21",
        "last_updated": "2020-04-21",
        "certification_date": "2020-04-21",
        "status": "A",
        "authorized_official_last_name": "DELANGE",
        "authorized_official_first_name": "ANDREA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-273-1830",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "andrea.delange.pt@gmail.com",
            "affiliation": "N",
            "address_1": "5 Copper Beech Ln",
            "city": "Ridgefield",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068773412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.