NPIMap

Organization Active NPI

Connecticut Family Physical Therapy LLC

  • Specialist
  • Westport, CT
National Provider Identifier
1427255660
Registry record updated Apr 23, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
CT007332 Issued in CT
Legal business name
CONNECTICUT FAMILY PHYSICAL THERAPY LLC
Practice address
22 Crescent Rd
Westport, CT 06880-4542
Phone
(203) 300-6857
NPI assigned
Jun 29, 2007
Last updated
Apr 23, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2008

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

Authorized official

Name
Emily Chen, MS, PTNPI 1609937937
Title
President
Phone
(203) 227-5431

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
Specialist 174400000X CT007332 CT Primary

Addresses

Primary practice location

22 Crescent Rd
Westport, CT 06880-4542

Mailing address

37 Sherwood Dr
Westport, CT 06880-6626

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20080722000769 CT Part B Supplier - Clinic/Group Practice 4880767946 Receives reassigned benefits from 6 practitioners
Practice locations: Westport, CT

National Provider Directory

National Provider Directory

Locations

22 Crescent Rd
Westport, CT 06880
Phone (203) 226-2216

735 Post Rd E
Westport, CT 06880
Phone (203) 227-5431

Practitioners & affiliated clinicians

Practitioners 12

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": "1183075200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208908800000",
    "number": "1427255660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 SHERWOOD DR",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068806626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CRESCENT RD",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804542",
            "telephone_number": "203-300-6857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT FAMILY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-29",
        "last_updated": "2008-04-23",
        "status": "A",
        "authorized_official_last_name": "CHEN",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-227-5431",
        "authorized_official_credential": "MS, PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "CT007332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2008; 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.