Gretchen Broughton, PHYSICAL THERAPIST

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

008267 Issued in CT

Practice address

90 Grove St
Suite 106
Ridgefield, CT 06877-4114

Phone

(203) 431-8471

Fax

(203) 438-9543

NPI assigned

Oct 26, 2006

Last updated

Jul 2, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1689759987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 OLD ROUTE 7",
            "address_2": "ATTN: CREDENTIALING DEPT",
            "city": "BROOKFIELD",
            "state": "CT",
            "postal_code": "068041714",
            "telephone_number": "203-740-0020",
            "fax_number": "203-775-0238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 GROVE ST",
            "address_2": "SUITE 106",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774114",
            "telephone_number": "203-431-8471",
            "fax_number": "203-438-9543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BROUGHTON",
        "first_name": "GRETCHEN",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-26",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "008267",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "11832080",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2V5480",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Yvonne Balboni Bregman, LCSW, LICSW
• Geri Brewster, RD MPH
• Anil J Britto, MD
• Patricia Brody, PT
• Jane M Brotanek, MD
• Bria Brown
• Leslie Brown
• Marguerite Meriwether Brown, MD
• Gary Brozyna
• Gregory F. Brucato, M.D., FACS

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2008; 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.