NPIMap

Organization Active NPI

Insight Rehab & Wellness PLLC

  • Physical Therapy Clinic/Center
  • Bethel, CT
National Provider Identifier
1619646650
Registry record updated Sep 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
INSIGHT REHAB & WELLNESS PLLC
Practice address
10B Elizabeth St
Bethel, CT 06801-2100
Phone
(203) 778-0720
NPI assigned
Sep 13, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2021

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

Authorized official

Name
Mark Dufresne, PTNPI 1447291323
Title
Owner
Phone
(203) 778-0720

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

10B Elizabeth St
Bethel, CT 06801-2100

Mailing address

116 Danbury Rd
New Milford, CT 06776-3441
Phone (860) 799-6320

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20211202001146 CT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 5597155713 Receives reassigned benefits from 3 practitioners
Practice locations: Bethel, CT

National Provider Directory

National Provider Directory

Locations

10B Elizabeth St
Bethel, CT 06801
Phone (203) 748-4447

116 Danbury Rd
New Milford, CT 06776
Phone (203) 794-6331

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1631491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631491200000",
    "number": "1619646650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 DANBURY RD",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067763441",
            "telephone_number": "860-799-6320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10B ELIZABETH ST",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068012100",
            "telephone_number": "203-778-0720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIGHT REHAB & WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-13",
        "last_updated": "2021-09-13",
        "certification_date": "2021-09-13",
        "status": "A",
        "authorized_official_last_name": "DUFRESNE",
        "authorized_official_first_name": "MARK",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-778-0720",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethel, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.