Individual provider Active NPI

James Philip Tarsi Jr., MSPT

  • Physical Therapist
  • Ridgefield, CT
National Provider Identifier
1669576815
Registry record updated Jul 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007612 Issued in CT
Practice address
100 Danbury Rd BLDG B
Suite 204
Ridgefield, CT 06877-4107
Phone
(203) 343-0357
Fax
(203) 343-0358
NPI assigned
Sep 9, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 007612 CT Primary
Physical Therapist 225100000X 036330-1 NY

Addresses

Primary practice location

100 Danbury Rd BLDG B
Suite 204
Ridgefield, CT 06877-4107

Mailing address

100B Danbury Rd
# 204
Ridgefield, CT 06877-4110
Phone (203) 343-0357

Other identifiers 2

IdentifierTypeStateIssuer
036360-1OtherNYNY LICENSE
007612OtherCTCT LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041228000011 CT Practitioner - Physical Therapist in Private Practice 2163480971 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

100 Danbury Rd
Suite 204
Ridgefield, CT 06877-4199
Phone (203) 343-0357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
036330-1NYMDPhysical Therapist
007612CTMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Individual Physical Therapy Solutions, LLC Physical Therapist CurrentSince Jul 1, 2014 Accepting new patients
Bienetre Medical PC Physical Therapist Past Accepting new patients

Locations

100 Danbury Rd
Ste 204
Ridgefield, CT 06877
Phone (203) 343-0357

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": "1157760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469664000000",
    "number": "1669576815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100B DANBURY RD",
            "address_2": "# 204",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774110",
            "telephone_number": "203-343-0357",
            "fax_number": "203-343-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 DANBURY RD BLDG B",
            "address_2": "SUITE 204",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774107",
            "telephone_number": "203-343-0357",
            "fax_number": "203-343-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARSI",
        "first_name": "JAMES",
        "middle_name": "PHILIP",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-09",
        "last_updated": "2016-07-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007612",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "036330-1",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NY LICENSE",
            "identifier": "036360-1",
            "state": "NY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CT LICENSE",
            "identifier": "007612",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2016; 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.