Reform Physical Therapy, PLLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

REFORM PHYSICAL THERAPY, PLLC

Practice address

991 Post Rd E
Westport, CT 06880-5363

Phone

(347) 377-0335

NPI assigned

Aug 29, 2024

Last updated

Aug 29, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Marisa Nicole Raguso, PT, DPTNPI 1568014603

Title

Owner/Physical Therapist

Phone

(347) 266-6373

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Marisa Nicole Raguso, PT, DPT

  • Physical Therapist
  • Westport, CT
  • NPI 1568014603
  NPD Authorized official

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

{
    "created_epoch": "1724889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724889600000",
    "number": "1629802830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 REYNOLDS DR",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068244600",
            "telephone_number": "347-266-6373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "991 POST RD E",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805363",
            "telephone_number": "347-377-0335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REFORM PHYSICAL THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-29",
        "last_updated": "2024-08-29",
        "certification_date": "2024-08-29",
        "status": "A",
        "authorized_official_last_name": "RAGUSO",
        "authorized_official_first_name": "MARISA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "347-266-6373",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neil Whitney Rattan, PSY.D.
• Sarah Raynor, APRN
• Rebecca Fein MD, PLLC
• Daniel Recko, O.D.
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• Regenerative Psychotherapy PLLC
• Steven Marc Regenstein, DDS
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• Relational Abuse Resource Center LLC
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• Physical Therapy Clinic/Center in Westport, CT
• Providers in Westport, CT by specialty
• Physical Therapy Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.