NPIMap

Individual provider Active NPI

Elizabeth L Bronner, P.T.

  • Physical Therapist
  • Granby, CT
National Provider Identifier
1699793463
Registry record updated Nov 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7603 Issued in CT
Practice address
97 Salmon Brook St
Granby, CT 06035-2607
Phone
(860) 844-8912
Fax
(860) 844-8912
NPI assigned
Jul 18, 2006
Last updated
Nov 6, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 19529 MA
Physical Therapist 225100000X 7603 CT Primary

Addresses

Primary practice location

97 Salmon Brook St
Granby, CT 06035-2607

Mailing address

97 Salmon Brook St
Granby, CT 06035-2607
Phone (860) 844-8912

Other identifiers 4

IdentifierTypeStateIssuer
0010901OtherCTORTHONET/HEALTHNET PROV
7687681OtherCTAETNA PROVIDER ID
XV2528OtherCTHEALTHNET PROVIDER ID
076572OtherCTMEDICARE GROUP ID

Other names 1

  • Miss Elizabeth L Galanti Former name

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

LicenseStateTypeSpecialty
7603CTMDPhysical Therapist
19529MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Neurologists, PC PastSince Jul 1, 1991 Accepting new patients
Trinity Health of New England Provider Network Organization Inc Past Accepting new patients
SFH-FF,LLC Physical Therapist Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1383696000000",
    "number": "1699793463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "97 SALMON BROOK ST",
            "city": "GRANBY",
            "state": "CT",
            "postal_code": "060352607",
            "telephone_number": "860-844-8912",
            "fax_number": "860-844-8912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "97 SALMON BROOK ST",
            "city": "GRANBY",
            "state": "CT",
            "postal_code": "060352607",
            "telephone_number": "860-844-8912",
            "fax_number": "860-844-8912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRONNER",
        "first_name": "ELIZABETH",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-18",
        "last_updated": "2013-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "19529",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "7603",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHONET/HEALTHNET  PROV",
            "identifier": "0010901",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PROVIDER ID",
            "identifier": "7687681",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET PROVIDER ID",
            "identifier": "XV2528",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP ID",
            "identifier": "076572",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELIZABETH",
            "last_name": "GALANTI",
            "middle_name": "L",
            "prefix": "MISS",
            "credential": "PT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Granby, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2013; 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.