Stacie Bretthauer, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0008602 Issued in CT

Practice address

1 Glen Hill Rd
Danbury, CT 06811-4921

Phone

(203) 744-2840

NPI assigned

Dec 3, 2012

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Dr. Stacie Friedman Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1354492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1669717641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 SQUANTZ VIEW DR",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068122434",
            "telephone_number": "410-409-3464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 GLEN HILL RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068114921",
            "telephone_number": "203-744-2840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRETTHAUER",
        "first_name": "STACIE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-12-03",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "0008602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Danbury",
            "affiliation": "N",
            "address_1": "1 Glen Hill Rd",
            "city": "Danbury",
            "state": "CT",
            "country_code": "US",
            "postal_code": "068114921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STACIE",
            "last_name": "FRIEDMAN",
            "prefix": "DR.",
            "credential": "PT, DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lisa Brekke
• Janice E. Brennan, OTR
• Kevin Michael Brennan, CRNA
• Renae Brescia, OTR/L
• Danielle Brett, PA
• Bridge Dermatology, PLLC
• Rossy Mercedes Brito Trinidad, LMSW
• Kayla Lauren Britz, CNM
• Stanford R Broder, MD
• Patrick Broderick, M.D.

• Physical Therapist in Danbury, CT
• Providers in Danbury, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; 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.