Laura Sue Barbagallo, MPT – Physical Therapist

Key facts

NPI: 1508301540
Entity type: Individual (NPI type 1)
Primary specialty: Physical Therapist 225100000X
License: 005787 (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
Sex: Female
Sole proprietor: No

Medicare participation

Medicare fee-for-service enrollment: Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD): Yes

State licenses

License	State	Type	Specialty
005787	CT	MD	Physical Therapist

Specialties & licenses

Specialty (taxonomy)	Code	License	State	Primary
Physical Therapist	225100000X	005787	CT	Yes

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

Mrs. Laura Sue Bates Former name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 29, 2016.

{
    "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

All providers in Monroe, 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 Dec 29, 2016. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.