Active NPI
Thomas Kassan
- Physical Therapist
- Farmington, CT
National Provider Identifier
1669879557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 010276
- Practice address
- 499 Farmington Ave
3Rd Floor
Farmington, CT 06032-1943 - Phone
- (860) 549-8986
- Fax
- (860) 284-9630
- NPI assigned
- Nov 21, 2014
- Sex
- Male
- 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 | 010276 | CT | Primary |
Addresses
Primary practice location
499 Farmington Ave
3Rd Floor
Farmington, CT 06032-1943
Mailing address
181 Patricia M Genova Dr
Newington, CT 06111-1500
Phone (860) 696-2550
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 |
|---|---|---|---|
| 010276 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopedic Associates of Hartford,PC | 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 and National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Hartford, CT
- NPI 1972500304
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1416528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1416528000000",
"number": "1669879557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 PATRICIA M GENOVA DR",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "061111500",
"telephone_number": "860-696-2550",
"fax_number": "860-696-2525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "499 FARMINGTON AVE",
"address_2": "3RD FLOOR",
"city": "FARMINGTON",
"state": "CT",
"postal_code": "060321943",
"telephone_number": "860-549-8986",
"fax_number": "860-284-9630"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASSAN",
"first_name": "THOMAS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-11-21",
"last_updated": "2014-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "010276",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Farmington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.