Active NPI
Angela L Ferrucci, PHYSICAL THERAPIST
- Physical Therapist
- Guilford, CT
National Provider Identifier
1497069033
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004582
- Practice address
- 753 Boston Post Rd
Suite 101
Guilford, CT 06437 - Phone
- (203) 458-6268
- Fax
- (203) 458-9230
- NPI assigned
- Aug 5, 2010
- Sex
- Female
- 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 | 004582 | CT | Primary |
Addresses
Primary practice location
753 Boston Post Rd
Suite 101
Guilford, CT 06437
Mailing address
753 Boston Post Rd
Suite 101
Guilford, CT 06437
Phone (203) 458-6268
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
753 Boston Post Rd
Suite 101
Guilford, CT 06437-2749
Phone (203) 458-6268
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004582 | CT | MD | Physical Therapist |
| 4582 | CT | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rehab Concepts LLC | Physical Therapist | Current | Accepting new patients |
Locations
753 Boston Post Rd
Ste 101
Guilford, CT 06437
Phone (203) 458-6268
75 Main St
Ste 1
Old Saybrook, CT 06475
Phone (860) 388-6268
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.
-
- Physical Therapist
- Guilford, CT
- NPI 1326100702
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280966400000",
"number": "1497069033",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "753 BOSTON POST RD",
"address_2": "SUITE 101",
"city": "GUILFORD",
"state": "CT",
"postal_code": "06437",
"telephone_number": "203-458-6268",
"fax_number": "203-458-9230"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "753 BOSTON POST RD",
"address_2": "SUITE 101",
"city": "GUILFORD",
"state": "CT",
"postal_code": "06437",
"telephone_number": "203-458-6268",
"fax_number": "203-458-9230"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FERRUCCI",
"first_name": "ANGELA",
"middle_name": "L",
"credential": "PHYSICAL THERAPIST",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-05",
"last_updated": "2010-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "004582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Guilford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; 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.