Individual provider Active NPI

Michele Grasso, RPT

  • Physical Therapist
  • Higganum, CT
National Provider Identifier
1598715054
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004600 Issued in CT
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

Updated by the provider on Oct 5, 2015

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 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

IdentifierTypeStateIssuer
080004600CT03OtherCTANTHEM BC/BS
004145480MedicaidCT
5360125OtherCTAETNA
68562OtherCTOXFORD/ORTHONET
15701OtherCTCIGNA/ORTHONET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050404000812 CT Practitioner - Physical Therapist in Private Practice 4880641653 Reassigns benefits to 1 organization

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
Ptsma IncGroup PAC ID 7911800180, 173 clinicians

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

LicenseStateTypeSpecialty
004600CTMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
Ptsma, Inc. Physical Therapist Current Accepting new patients
Ptsma Inc CurrentSince Aug 19, 2019 Accepting new patients
Ptsma, Inc. CurrentSince Aug 19, 2019 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.

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.

Verify at the official NPI Registry.