Individual provider Active NPI

Samuel Taggard

  • Physical Therapist
  • Manchester, CT
National Provider Identifier
1639002736
Registry record updated Jun 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14907 Issued in CT
Practice address
750 Main St
Manchester, CT 06040-5101
Phone
(860) 643-9500
NPI assigned
Jun 8, 2026
Sex
Unspecified or another gender identity
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2026

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 14907 CT Primary

Addresses

Primary practice location

750 Main St
Manchester, CT 06040-5101

Mailing address

750 Main St
Manchester, CT 06040-5101
Phone (860) 643-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ecs-01 LLC Current Accepting new patients
Ecs-03 LLC Current Accepting new patients

Locations

750 Main St
Manchester, CT 06040
Phone (860) 643-9500

Organizations & group practices 2

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": "1780876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780876800000",
    "number": "1639002736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "750 MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405101",
            "telephone_number": "860-643-9500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "750 MAIN ST",
            "city": "MANCHESTER",
            "state": "CT",
            "postal_code": "060405101",
            "telephone_number": "860-643-9500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAGGARD",
        "first_name": "SAMUEL",
        "sole_proprietor": "NO",
        "sex": "X",
        "enumeration_date": "2026-06-08",
        "last_updated": "2026-06-08",
        "certification_date": "2026-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "14907",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2026; 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.