Pamela Hubert, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

009660 Issued in CT

Practice address

465 Wolcott Rd
Advanced Physical Therapy
Wolcott, CT 06716-2613

Phone

(203) 879-0107

Fax

(203) 879-0206

NPI assigned

Feb 27, 2013

Sex

Female

Sole proprietor

Yes

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.

• Advanced Physical Therapy, LLC

  • Physical Therapist
  • Wolcott, CT
  • NPI 1861677262

  CT, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Community Physical Therapy

  • Physical Therapist
  • Wolcott, CT
  • NPI 1528275872
  NPD (past)

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Advanced Physical Therapy, LLC 23 clinicians

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Feb 27, 2013.

{
    "created_epoch": "1361923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1361923200000",
    "number": "1639419682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "465 WOLCOTT RD",
            "address_2": "ADVANCED PHYSICAL THERAPY",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162613",
            "telephone_number": "203-879-0107",
            "fax_number": "203-879-0206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 WOLCOTT RD",
            "address_2": "ADVANCED PHYSICAL THERAPY",
            "city": "WOLCOTT",
            "state": "CT",
            "postal_code": "067162613",
            "telephone_number": "203-879-0107",
            "fax_number": "203-879-0206"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUBERT",
        "first_name": "PAMELA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-02-27",
        "last_updated": "2013-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "009660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICUT LICENSE",
            "identifier": "009660",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amy Lisa Guyette, LPC
• Gayle Gwozdz, A.P.R.N.
• Amber S Hayes, PT
• Jaylin Holland, ND
• Charles Housemann
• Karlene A Hylton, APRN
• Sarah Jess Hyman, DMD
• Joseph Ingriselli
• Inhouse Care LLC
• Inspiring Hope LLC

• All providers in Wolcott, CT
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2013; 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.