Individual provider Active NPI

Jennifer Pagnamenta, RPT

  • Orthopedic Physical Therapist
  • Woodbury, CT
National Provider Identifier
1609093731
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
006100 Issued in CT
Practice address
51 Sherman Hill Rd Ste A201
Woodbury, CT 06798-3694
Phone
(203) 263-3104
Fax
(203) 263-4050
NPI assigned
Apr 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 006100 CT Primary

Addresses

Primary practice location

51 Sherman Hill Rd Ste A201
Woodbury, CT 06798-3694

Mailing address

250 Cowles Rd
Woodbury, CT 06798-1726
Phone (203) 263-3104

Other identifiers 1

IdentifierTypeStateIssuer
006100OtherCTPHYSICAL THERAPY LICENSE

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

State licenses

LicenseStateTypeSpecialty
006100CTMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Physical Therapy, LLC Orthopedic PastSince Mar 27, 1998 Accepting new patients
Score, LLC PastSince Mar 14, 2016 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1609093731",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 COWLES RD",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067981726",
            "telephone_number": "203-263-3104",
            "fax_number": "203-263-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 SHERMAN HILL RD STE A201",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "067983694",
            "telephone_number": "203-263-3104",
            "fax_number": "203-263-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAGNAMENTA",
        "first_name": "JENNIFER",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CT",
            "license": "006100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICAL THERAPY LICENSE",
            "identifier": "006100",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.