Organization Active NPI

Physical Therapy & Rehabilitation Specialists, Inc.

  • Physical Therapist
  • Stratford, CT
National Provider Identifier
1679891899
Registry record updated Jun 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
PHYSICAL THERAPY & REHABILITATION SPECIALISTS, INC.
Practice address
1505 Barnum Ave
Stratford, CT 06614-5404
Phone
(203) 878-0060
Fax
(203) 878-8849
NPI assigned
May 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 28, 2010

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

Authorized official

Name
Mr. Wayne T. Ritchie, P.T.NPI 1922195551
Title
Owner
Phone
(203) 856-9876

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X CT Primary

Addresses

Primary practice location

1505 Barnum Ave
Stratford, CT 06614-5404

Mailing address

180 River Rd
Stratford, CT 06614-1630
Phone (203) 878-0060

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20101014000523 CT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 3779775333 Receives reassigned benefits from 1 practitioner
Practice locations: Stratford, CT; Milford, CT

National Provider Directory

National Provider Directory

Locations

531 New Haven Ave
Milford, CT 06460
Phone (203) 877-4469

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1273622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1277683200000",
    "number": "1679891899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 RIVER RD",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066141630",
            "telephone_number": "203-878-0060",
            "fax_number": "203-878-8849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1505 BARNUM AVE",
            "city": "STRATFORD",
            "state": "CT",
            "postal_code": "066145404",
            "telephone_number": "203-878-0060",
            "fax_number": "203-878-8849"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL THERAPY & REHABILITATION SPECIALISTS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-05-12",
        "last_updated": "2010-06-28",
        "status": "A",
        "authorized_official_last_name": "RITCHIE",
        "authorized_official_first_name": "WAYNE",
        "authorized_official_middle_name": "T.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-856-9876",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stratford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.