Individual provider Active NPI

Robert Mahlman

  • Physical Therapist
  • Cos Cob, CT
National Provider Identifier
1629597471
Registry record updated Sep 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11617 Issued in CT
Practice address
35 River Rd
Cos Cob, CT 06807-2759
Phone
(203) 422-0679
NPI assigned
Sep 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 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 11617 CT Primary

Addresses

Primary practice location

35 River Rd
Cos Cob, CT 06807-2759

Mailing address

800 Post Rd Ste 3a
Darien, CT 06820-4622
Phone (203) 202-2703

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, NY2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20171003004603 CT Practitioner - Physical Therapist in Private Practice 6103191085 Reassigns benefits to 3 organizations
I20171106000441 NY Practitioner - Physical Therapist in Private Practice 6103191085

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Performance Physical Therapy of Westport LLC 6 clinicians

Practice addresses (Care Compare)

508 Westport Ave
Norwalk, CT 06851-4424
Phone (203) 553-7626

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Performance Physical Therapy of Darien LLC Physical Therapist CurrentSince Sep 7, 2017 Accepting new patients
Performance Physical Therapy of Westport LLC Physical Therapist CurrentSince Sep 7, 2017 Accepting new patients
Performance Physical Therapy of New Canaan, PLLC Physical Therapist CurrentSince Apr 8, 2019 Accepting new patients

Locations

800 Post Rd
Ste 3A
Darien, CT 06820
Phone (203) 202-2703

800 Post Rd
#3A
Darien, CT 06820
Phone (203) 202-2703

16 Cross St
New Canaan, CT 06840
Phone (203) 228-5010

508 Westport Ave
Norwalk, CT 06851
Phone (203) 553-7626

9 W Broad St
Ste 100
Stamford, CT 06902

333 Post Rd W
Westport, CT 06880
Phone (203) 226-0731

Interoperability endpoints

  • Direct secure messaging: robert.mahlman.1@24265.direct.athenahealth.com

Organizations & group practices 3

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": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505260800000",
    "number": "1629597471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 POST RD STE 3A",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204622",
            "telephone_number": "203-202-2703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 RIVER RD",
            "city": "COS COB",
            "state": "CT",
            "postal_code": "068072759",
            "telephone_number": "203-422-0679"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAHLMAN",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-13",
        "last_updated": "2017-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "11617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cos Cob, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.