Michelle L Thibeault, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6033 Issued in CT

Practice address

1260 E Main St
Meriden, CT 06450-4806

Phone

(203) 630-3939

NPI assigned

Apr 20, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• Diversified Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Meriden, CT
  • NPI 1801018882

  CT

  Medicare reassignment NPD Authorized official
• Micha Abeles MD

  • Rheumatology Physician
  • Meriden, CT
  • NPI 1124118526
  NPD (past)

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1186358400000",
    "number": "1609831577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1260 E MAIN ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064504806",
            "telephone_number": "203-630-3939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1260 E MAIN ST",
            "city": "MERIDEN",
            "state": "CT",
            "postal_code": "064504806",
            "telephone_number": "203-630-3939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THIBEAULT",
        "first_name": "MICHELLE",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2007-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "6033",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Bradley Home
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• The Curtis Home
• The Stop & Shop Supermarket Company LLC
• Gardy Theodore
• Susan Thompson, MS ED CCC-SLP
• Thoracic & Vascular Surgical Specialists of Central CT LLC
• Jaime Lynne Thorne, LMSW
• Thrive Counseling LLC
• Thomas Alfred Thurber, LCSW

• Physical Therapist in Meriden, CT
• Providers in Meriden, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2007; 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.