Active NPI
Donna Podurgiel
- Physical Therapist
- Southbury, CT
National Provider Identifier
1659079515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3260
- Practice address
- 655 Main St S
Southbury, CT 06488-4220 - Phone
- (877) 407-3422
- Fax
- (877) 407-4329
- NPI assigned
- Feb 21, 2023
- Last updated
- Feb 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 3260 | CT | Primary |
Addresses
Primary practice location
655 Main St S
Southbury, CT 06488-4220
Mailing address
7 Clyde Rd
Somerset, NJ 08873-5049
Phone (732) 873-5133
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3260 | CT | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1676937600000",
"number": "1659079515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 CLYDE RD",
"city": "SOMERSET",
"state": "NJ",
"postal_code": "088735049",
"telephone_number": "732-873-5133",
"fax_number": "877-407-4329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "655 MAIN ST S",
"city": "SOUTHBURY",
"state": "CT",
"postal_code": "064884220",
"telephone_number": "877-407-3422",
"fax_number": "877-407-4329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PODURGIEL",
"first_name": "DONNA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-02-21",
"last_updated": "2023-02-21",
"certification_date": "2023-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "3260",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Southbury, CT
- Peter Zdankiewicz, M.D. LLC
- Phase One Physical Therapy PC (The Dizziness Balance & Mobility Centers of Southbury)
- Jean Piacenza, LCSW
- Andrea Piccolo
- Peter J Piliero, MD
- Holly Poglitsch, M.S.
- Ellen Polokoff, MD
- Pomperaug Chiropractic and Holistic Center, PC
- Pomperaug Plastic Surgery, LLC
- Pomperaug Woods, Inc. (Pomperaug Woods Health Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.