Briana Rose Avitable
Individual provider Active NPI Physical Therapist · Waterbury, CT
NPI 1487540894 · NPPES record last updated Nov 7, 2025
Key facts
- NPI
- 1487540894
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 15186 (CT)
- Practice address
- 8 S Commons Rd
Waterbury, CT 06704-1035 - Phone
- (203) 759-1229
- NPI assigned
- Jun 13, 2025
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2025
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Anb-Ptsma Holdings Inc
Practice addresses (Care Compare)
133 S Main St
West Hartford, CT 06107-3431
Phone (860) 940-2001
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20260623001165 | CT | Practitioner - Physical Therapist in Private Practice | 6709359607 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 15186 | CT | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 15186 | CT | Yes |
Addresses
Primary practice location
8 S Commons Rd
Waterbury, CT 06704-1035
Mailing address
3 Summer PL
Meriden, CT 06451-5486
Phone (203) 868-9861
Other providers in Waterbury, CT
- Karanbeer Singh Aulakh
- Aurora Senior Living of Buck Hill, LLC
- Richard T. Aust
- Authentic Recovery, LLC
- Nicole Aviles
- Brooj Awan
- Olubukola Awe
- Oluwadare Olanipekun Awolola
- Vanessa Asonyu Ayafor
- Shehmeer M Ayaz
All providers in Waterbury, CT · Physical Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 7, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.