Active NPI
Jennifer Passoni, DPT
- Physical Therapist
- Derby, CT
National Provider Identifier
1710346432
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7389
- Practice address
- 350 Seymour Ave
Derby, CT 06418-1336 - Phone
- (203) 732-7445
- Fax
- (203) 732-7395
- NPI assigned
- Feb 23, 2016
- Sex
- Female
- Sole proprietor
- Yes
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 | 7389 | CT | Primary |
Addresses
Primary practice location
350 Seymour Ave
Derby, CT 06418-1336
Mailing address
130 Division St
Derby, CT 06418-1326
Phone (203) 732-7445
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 |
|---|---|---|---|
| 7389 | CT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1456185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459900800000",
"number": "1710346432",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "130 DIVISION ST",
"city": "DERBY",
"state": "CT",
"postal_code": "064181326",
"telephone_number": "203-732-7445",
"fax_number": "203-732-7395"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 SEYMOUR AVE",
"city": "DERBY",
"state": "CT",
"postal_code": "064181336",
"telephone_number": "203-732-7445",
"fax_number": "203-732-7395"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PASSONI",
"first_name": "JENNIFER",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-23",
"last_updated": "2016-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "7389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Derby, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.