Individual provider Active NPI

Laura Sue Barbagallo, MPT

  • Physical Therapist
  • Monroe, CT
National Provider Identifier
1508301540
Registry record updated Dec 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
005787 Issued in CT
Practice address
238 Monroe Tpke Unit a
Monroe, CT 06468-6200
Phone
(203) 261-6500
Fax
(203) 261-6507
NPI assigned
Dec 29, 2016
Last updated
Dec 29, 2016By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 29, 2016

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 005787 CT Primary

Addresses

Primary practice location

238 Monroe Tpke Unit a
Monroe, CT 06468-6200

Mailing address

109 Sterling Rd
Trumbull, CT 06611-2303
Phone (203) 268-8810

Other names 1

  • Mrs. Laura Sue Bates Former name

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

NPI Registry JSON

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

{
    "created_epoch": "1482969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1508301540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 STERLING RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066112303",
            "telephone_number": "203-268-8810"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 MONROE TPKE UNIT A",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064686200",
            "telephone_number": "203-261-6500",
            "fax_number": "203-261-6507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARBAGALLO",
        "first_name": "LAURA",
        "middle_name": "SUE",
        "name_prefix": "Miss",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-29",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "005787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "BATES",
            "middle_name": "SUE",
            "prefix": "MRS.",
            "credential": "MPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Monroe, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.