Active NPI
Vera R Killian, PT
- Physical Therapist
- Mansfield Center, CT
National Provider Identifier
1629150644
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 006689
- Practice address
- 10 Higgins Hwy
Suite 12
Mansfield Center, CT 06250-1437 - Phone
- (860) 456-3772
- Fax
- (860) 456-4941
- NPI assigned
- Oct 19, 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 | 006689 | CT | Primary |
Addresses
Primary practice location
10 Higgins Hwy
Suite 12
Mansfield Center, CT 06250-1437
Mailing address
262 Lake Rd
Andover, CT 06232-1709
Phone (860) 742-1859
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061503332 | Other | CT | AETNA |
| 061503332002 | Other | CT | TRICARE |
| A2752221 | Other | CT | OXFORD |
| 0014105 | Other | CT | ORTHONET HEALTHNET |
| 14105 | Other | CT | ORTHONET CIGNA |
| OV7726 | Other | CT | HEALTHNET |
Other names 1
- Vera Brown
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061216000023 | CT | Practitioner - Physical Therapist in Private Practice | 2466451638 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Killians Therapeutic Services LLC
Practice addresses (Care Compare)
10 Higgins Hwy
Suite 11
Mansfield Center, CT 06250-1437
Phone (860) 456-3772
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006689 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Killians Therapeutic Services LLC | Physical Therapist | Current | Accepting new patients |
| Eastern Connecticut Rehabilitation Centers | Past | Accepting new patients | |
| Eastern Connecticut Rehabili | Past | Accepting new patients | |
| Eastern Connecticut Rehabilitation Centers | Past | Accepting new patients | |
| Eastern Connecticut Rehabili | Past | Accepting new patients | |
| Eastern Connecticut Rehabilitation Centers | Physical Therapist | Past | Accepting new patients |
| Eastern Connecticut Rehabilitation Centers | Past | Accepting new patients |
Locations
10 Higgins Hwy
Ste 12
Mansfield Center, CT 06250
Phone (860) 456-3772
10 Higgins Hwy
Ste 11
Mansfield Center, CT 06250
Phone (860) 450-1135
Organizations & group practices 7
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.
-
- Physical Therapist
- Mansfield Center, CT
- NPI 1316413776
CT, Physical Therapist
-
- Physical Therapy Clinic/Center
- Dayville, CT
- NPI 1619986619
-
- Physical Therapy Clinic/Center
- Gales Ferry, CT
- NPI 1700895729
-
- Physical Therapy Clinic/Center
- Lisbon, CT
- NPI 1275542219
-
- Physical Therapist
- Lisbon, CT
- NPI 1538257282
-
- Physical Therapy Clinic/Center
- Colchester, CT
- NPI 1598774507
-
- Physical Therapy Clinic/Center
- Killingly, CT
- NPI 1952310971
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1488240000000",
"number": "1629150644",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "262 LAKE RD",
"city": "ANDOVER",
"state": "CT",
"postal_code": "062321709",
"telephone_number": "860-742-1859",
"fax_number": "860-456-4941"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 HIGGINS HWY",
"address_2": "SUITE 12",
"city": "MANSFIELD CENTER",
"state": "CT",
"postal_code": "062501437",
"telephone_number": "860-456-3772",
"fax_number": "860-456-4941"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KILLIAN",
"first_name": "VERA",
"middle_name": "R",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-19",
"last_updated": "2017-02-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "006689",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "061503332",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "061503332002",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "A2752221",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORTHONET HEALTHNET",
"identifier": "0014105",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORTHONET CIGNA",
"identifier": "14105",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "OV7726",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VERA",
"last_name": "BROWN",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mansfield Center, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2017; 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.