Individual provider Active NPI

Jill M Maloney, PT

  • Physical Therapist
  • Danbury, CT
National Provider Identifier
1710928742
Registry record updated Jul 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
003716 Issued in CT
Practice address
22 Eagle Rd
Danbury, CT 06810-4129
Phone
(203) 778-8326
Fax
(203) 792-9170
NPI assigned
Jun 9, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2009

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 003716 CT Primary

Addresses

Primary practice location

22 Eagle Rd
Danbury, CT 06810-4129

Mailing address

22 Eagle Rd
Danbury, CT 06810-4129
Phone (203) 778-8326

Other identifiers 2

IdentifierTypeStateIssuer
513491OtherCTAETNA
06140156402OtherCTUHC

Other names 1

  • Mrs. Jill M Newman Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081125000278 CT Practitioner - Physical Therapist in Private Practice 2466512181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Team Rehab PCGroup PAC ID 5496713448, 7 clinicians

Practice addresses (Care Compare)

22 Eagle Rd
Danbury, CT 06810-4129
Phone (203) 778-8326

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
3716CTMDProfessional Counselor
003716CTMDCounseling Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Team Rehab PC Physical Therapist CurrentSince Oct 8, 2008 Accepting new patients

Locations

22 Eagle Rd
Danbury, CT 06810
Phone (203) 218-5303

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1247529600000",
    "number": "1710928742",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 EAGLE RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104129",
            "telephone_number": "203-778-8326",
            "fax_number": "203-792-9170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 EAGLE RD",
            "city": "DANBURY",
            "state": "CT",
            "postal_code": "068104129",
            "telephone_number": "203-778-8326",
            "fax_number": "203-792-9170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONEY",
        "first_name": "JILL",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-09",
        "last_updated": "2009-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "003716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "513491",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "06140156402",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JILL",
            "last_name": "NEWMAN",
            "middle_name": "M",
            "prefix": "MRS.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Danbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2009; 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.