Active NPI
Bente Dahl-Busby, P.T., DPT
- Specialist
- Sharon, CT
National Provider Identifier
1669692299
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 004417
- Practice address
- 101 Gay St
Sharon, CT 06069-2001 - Phone
- (860) 397-5363
- Fax
- (860) 397-5358
- NPI assigned
- Apr 26, 2007
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 004417 | CT | Primary |
Addresses
Primary practice location
101 Gay St
Sharon, CT 06069-2001
Mailing address
108 Prichard Rd
Cornwall Bridge, CT 06754-1317
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 |
|---|---|---|---|
| 004417 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nordicare Physical Therapy, P.C. | Specialist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Sharon, CT
- NPI 1568549350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177545600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478563200000",
"number": "1669692299",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "108 PRICHARD RD",
"city": "CORNWALL BRIDGE",
"state": "CT",
"postal_code": "067541317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 GAY ST",
"city": "SHARON",
"state": "CT",
"postal_code": "060692001",
"telephone_number": "860-397-5363",
"fax_number": "860-397-5358"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAHL-BUSBY",
"first_name": "BENTE",
"name_prefix": "Mrs.",
"credential": "P.T., DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-04-26",
"last_updated": "2016-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CT",
"license": "004417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sharon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.