Individual provider Active NPI

Vera R Killian, PT

  • Physical Therapist
  • Mansfield Center, CT
National Provider Identifier
1629150644
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006689 Issued in CT
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

Updated by the provider on Feb 28, 2017

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 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

IdentifierTypeStateIssuer
061503332OtherCTAETNA
061503332002OtherCTTRICARE
A2752221OtherCTOXFORD
0014105OtherCTORTHONET HEALTHNET
14105OtherCTORTHONET CIGNA
OV7726OtherCTHEALTHNET

Other names 1

  • Vera Brown Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 LLCGroup PAC ID 8729321633, 3 clinicians

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

LicenseStateTypeSpecialty
006689CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Killians Therapeutic Services LLC Physical Therapist CurrentSince Jan 1, 2019 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.

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.

Verify at the official NPI Registry.