Active NPI
Michele Grasso, RPT
- Physical Therapist
- Higganum, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004600
- Practice address
- 3A Candlewood Hill Road
Higganum, CT 06441-4202 - Phone
- (860) 345-2622
- Fax
- (860) 345-2626
- NPI assigned
- May 12, 2006
- 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 | 004600 | CT | Primary |
Addresses
Primary practice location
3A Candlewood Hill Road
Higganum, CT 06441-4202
Mailing address
PO Box 619
Higganum, CT 06441-0619
Phone (860) 345-2622
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080004600CT03 | Other | CT | ANTHEM BC/BS |
| 004145480 | Medicaid | CT | |
| 5360125 | Other | CT | AETNA |
| 68562 | Other | CT | OXFORD/ORTHONET |
| 15701 | Other | CT | CIGNA/ORTHONET |
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, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3 A Candlewood Hill Rd
Higganum, CT 06441-4202
Phone (860) 345-2626
37 S Broad St
Unit 12
Pawcatuck, CT 06379-7909
Phone (860) 495-1919
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004600 | CT | MD | Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ptsma, Inc. | Physical Therapist | Current | Accepting new patients |
| Ptsma Inc | Current | Accepting new patients | |
| Ptsma, Inc. | Current | Accepting new patients |
Locations
3A Candlewood Hill Rd
Higganum, CT 06441
Phone (860) 345-2622
37 S Broad St
Ste 12
Pawcatuck, CT 06379
Phone (860) 495-1919
Organizations & group practices 3
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.
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Pawcatuck, CT
- NPI 1033773759
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147392000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1444003200000",
"number": "1598715054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 619",
"city": "HIGGANUM",
"state": "CT",
"postal_code": "064410619",
"telephone_number": "860-345-2622",
"fax_number": "860-345-2626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3A CANDLEWOOD HILL ROAD",
"city": "HIGGANUM",
"state": "CT",
"postal_code": "064414202",
"telephone_number": "860-345-2622",
"fax_number": "860-345-2626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GRASSO",
"first_name": "MICHELE",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-12",
"last_updated": "2015-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "004600",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "080004600CT03",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004145480",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5360125",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD/ORTHONET",
"identifier": "68562",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA/ORTHONET",
"identifier": "15701",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Higganum, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.