Individual provider Active NPI

Frederick P. Zecha III, DPT

  • Physical Therapist
  • Milford, CT
National Provider Identifier
1457181737
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14528 Issued in CT
Practice address
247 Broad St Ste 3
Milford, CT 06460-3273
Phone
(203) 693-3754
Fax
(203) 283-3908
NPI assigned
Aug 2, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 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 14528 CT Primary

Addresses

Primary practice location

247 Broad St Ste 3
Milford, CT 06460-3273

Mailing address

247 Broad St Ste 3
Milford, CT 06460-3273
Phone (203) 693-3754

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241121002204 CT Practitioner - Physical Therapist in Private Practice 9739614199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Prolete Physical Therapy and Sports Medicine PCGroup PAC ID 7113237504, 5 clinicians

Practice addresses (Care Compare)

11 Research Dr
Suite 3
Woodbridge, CT 06525-2350
Phone (203) 850-6677

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Prolete Physical Therapy & Sports Medicine PC Physical Therapist CurrentSince Oct 1, 2024 Accepting new patients

Locations

247 Broad St
Ste 3
Milford, CT 06460
Phone (203) 693-3754

295 Boston Post Rd
Milford, CT 06460

11 Research Dr
Ste 3
Woodbridge, CT 06525
Phone (203) 850-6677

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1722556800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1457181737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "247 BROAD ST STE 3",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603273",
            "telephone_number": "203-693-3754",
            "fax_number": "203-283-3908"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "247 BROAD ST STE 3",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603273",
            "telephone_number": "203-693-3754",
            "fax_number": "203-283-3908"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZECHA III",
        "first_name": "FREDERICK",
        "middle_name": "P.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "14528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 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.