NPIMap

Organization Active NPI

Darien Physical Therapy Center, P.C.

  • Physical Medicine & Rehabilitation Physician
  • Darien, CT
National Provider Identifier
1689686545
Registry record updated Jan 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
Legal business name
DARIEN PHYSICAL THERAPY CENTER, P.C.
Practice address
455 Post Rd Ste 201
Darien, CT 06820-3614
Phone
(203) 655-6464
Fax
(203) 655-2859
NPI assigned
Aug 12, 2006
Last updated
Jan 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 25, 2022

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

Authorized official

Name
Mr. Michael Henry Morgan, M.S., P.T., A.T., C.NPI 1568412807
Title
Owner
Phone
(203) 655-6464

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X Primary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 4300265-000 CT

Addresses

Primary practice location

455 Post Rd Ste 201
Darien, CT 06820-3614

Mailing address

455 Post Rd Ste 201
Darien, CT 06820-3614
Phone (203) 655-6464

Other identifiers 6

IdentifierTypeStateIssuer
52901OtherCTCIGNA ORTHONET PROVIDER #
3502813006OtherCTCIGNA PROVIDER NUMBER
566378OtherCTAETNA PROVIDER NUMBER
Q56091OtherCTEMPIRE ORTHONET PROVIDER
CV9551OtherCTHEALTHNET PROVIDER NUMBER
A3512621OtherCTOXFORD PROVIDER NUMBER

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041228000316 CT Part B Supplier - Clinic/Group Practice 4880652528 Receives reassigned benefits from 3 practitioners
Practice locations: Darien, CT

National Provider Directory

National Provider Directory

Locations

455 Post Rd
Ste 201
Darien, CT 06820
Phone (203) 655-6464

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1155340800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1643068800000",
    "number": "1689686545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 POST RD STE 201",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068203614",
            "telephone_number": "203-655-6464",
            "fax_number": "203-655-2859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 POST RD STE 201",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068203614",
            "telephone_number": "203-655-6464",
            "fax_number": "203-655-2859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DARIEN PHYSICAL THERAPY CENTER, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-12",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A",
        "authorized_official_last_name": "MORGAN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "HENRY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-655-6464",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.S., P.T., A.T., C."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "4300265-000",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ORTHONET PROVIDER #",
            "identifier": "52901",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "3502813006",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER NUMBER",
            "identifier": "566378",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE ORTHONET PROVIDER",
            "identifier": "Q56091",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET PROVIDER NUMBER",
            "identifier": "CV9551",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD PROVIDER NUMBER",
            "identifier": "A3512621",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.