Active NPI
Alex Oberschall
- Physical Therapist
- Rocky Hill, CT
National Provider Identifier
1487805891
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 6874
- Practice address
- 1940 Silas Deane Hwy
Rocky Hill, CT 06067-1310 - Phone
- (860) 257-7448
- Fax
- (860) 257-9574
- NPI assigned
- Oct 3, 2008
- Last updated
- Oct 3, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 6874 | CT | Primary |
Addresses
Primary practice location
1940 Silas Deane Hwy
Rocky Hill, CT 06067-1310
Mailing address
PO Box 15
Rocky Hill, CT 06067-0015
Phone (860) 257-7448
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006874 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Connecticut Diagnostics LLC | Physical Therapist | Past | Accepting new patients |
| Charlestin Chiropractic Group LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Chiropractor
- Rocky Hill, CT
- NPI 1720685118
-
- Physical Therapist
- Rocky Hill, CT
- NPI 1598868192
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222992000000",
"number": "1487805891",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15",
"city": "ROCKY HILL",
"state": "CT",
"postal_code": "060670015",
"telephone_number": "860-257-7448",
"fax_number": "860-257-9574"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1940 SILAS DEANE HWY",
"city": "ROCKY HILL",
"state": "CT",
"postal_code": "060671310",
"telephone_number": "860-257-7448",
"fax_number": "860-257-9574"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OBERSCHALL",
"first_name": "ALEX",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-10-03",
"last_updated": "2008-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "6874",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Hill, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.