Individual provider Active NPI

Timothy King, DPT

  • Physical Therapist
  • Brookfield, CT
National Provider Identifier
1447551171
Registry record updated Dec 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8939 Issued in CT
Practice address
60 Old New Milford Rd Ste 2a
Brookfield, CT 06804-2434
Phone
(203) 775-6205
NPI assigned
Nov 11, 2010
Last updated
Dec 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8939 CT Primary

Addresses

Primary practice location

60 Old New Milford Rd Ste 2a
Brookfield, CT 06804-2434

Mailing address

1952 Whitney Ave
Hamden, CT 06517-1209
Phone (203) 672-9227

Other practice location 1

35 River Rd
2ND Floor
Cos Cob, CT 06807-2759
Phone (203) 422-0679

Other identifiers 1

IdentifierTypeStateIssuer
080008939CT04OtherCTBLUECROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110401000640 CT Practitioner - Physical Therapist in Private Practice 0840474656 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
New York Medical College, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orthopaedic Specialists of Connecticut, PCGroup PAC ID 6709779887, 21 clinicians

Practice addresses (Care Compare)

60 Old New Milford Rd
Suite 2a
Brookfield, CT 06804-2434
Phone (203) 775-6205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8939CTMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab Connecticut, Inc. Physical Therapist CurrentSince Aug 27, 2018 Accepting new patients
Orthopaedic Specialists of Connecticut, PC Physical Therapist CurrentSince Mar 1, 2025 Accepting new patients
Hand Therapy Associates, Inc Physical Therapist CurrentSince Dec 31, 2018 Accepting new patients
Hand Therapy Associates, Inc Physical Therapist CurrentSince Dec 31, 2018 Accepting new patients

Locations

3101 Main St
Bridgeport, CT 06606
Phone (203) 372-2887

60 Old New Milford Rd
Ste 2A
Brookfield, CT 06804
Phone (203) 350-6999

60 Old New Milford Rd
Ste 3E
Brookfield, CT 06804
Phone (203) 775-6205

60 Old New Milford Rd
Ste 3G
Brookfield, CT 06804
Phone (203) 775-6205

2 Riverview Dr
Danbury, CT 06810
Phone (203) 798-9702

73 Sand Pit Rd
Ste 204
Danbury, CT 06810
Phone (203) 212-8000

101 N Plains Rd
Wallingford, CT 06492
Phone (203) 265-0018

500 Chase Pkwy
Fl 1
Waterbury, CT 06708
Phone (203) 754-2266

245 Amity Rd
Ste 207
Woodbridge, CT 06525
Phone (203) 389-8177

Organizations & group practices 4

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": "1289433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734652800000",
    "number": "1447551171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1952 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065171209",
            "telephone_number": "203-672-9227",
            "fax_number": "203-621-3162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "60 OLD NEW MILFORD RD STE 2A",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068042434",
            "telephone_number": "203-775-6205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "35 River Rd",
            "address_2": "2ND FLOOR",
            "address_purpose": "LOCATION",
            "city": "Cos Cob",
            "state": "CT",
            "postal_code": "068072759",
            "country_code": "US",
            "telephone_number": "203-422-0679",
            "fax_number": "203-422-0931",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KING",
        "first_name": "TIMOTHY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-11-11",
        "last_updated": "2024-12-20",
        "certification_date": "2024-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "8939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUE SHIELD",
            "identifier": "080008939CT04",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.