Individual provider Active NPI

Angie J Louis, PT

  • Physical Therapist
  • Prospect, CT
National Provider Identifier
1710859947
Registry record updated Sep 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15136 Issued in CT
Practice address
166 Waterbury Rd
Prospect, CT 06712-1200
Phone
(203) 805-4795
Fax
(203) 805-4971
NPI assigned
Sep 18, 2025
Last updated
Sep 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15136 CT Primary

Addresses

Primary practice location

166 Waterbury Rd
Prospect, CT 06712-1200

Mailing address

176 Laning St
Southington, CT 06489-1603
Phone (203) 441-4261

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251010001630 CT Practitioner - Physical Therapist in Private Practice 2466959762 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Physical Therapy, LLCGroup PAC ID 7315020005, 23 clinicians

Practice addresses (Care Compare)

346 Main Ave
Suite 204
Norwalk, CT 06851-1592
Phone (203) 847-4400

465 Wolcott Rd
Wolcott, CT 06716-2613
Phone (203) 441-4261

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Sep 17, 2025 Accepting new patients
Community Physical Therapy Physical Therapist Past Accepting new patients

Locations

166 Waterbury Rd
Prospect, CT 06712
Phone (203) 264-7999

465 Wolcott Rd
Wolcott, CT 06716
Phone (203) 441-4261

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": "1758153600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758153600000",
    "number": "1710859947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "176 LANING ST",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064891603",
            "telephone_number": "203-441-4261",
            "fax_number": "860-736-5013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "166 WATERBURY RD",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "067121200",
            "telephone_number": "203-805-4795",
            "fax_number": "203-805-4971"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUIS",
        "first_name": "ANGIE",
        "middle_name": "J",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-09-18",
        "last_updated": "2025-09-18",
        "certification_date": "2025-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "15136",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.