Active NPI
Joel Paul, MSPT
- Physical Therapist
- Woodbridge, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 7421
- Practice address
- 1 Bradley Rd
Suite #801
Woodbridge, CT 06525-2296 - Phone
- (203) 389-4593
- Fax
- (203) 389-4609
- NPI assigned
- Oct 26, 2006
- Sex
- Male
- Sole proprietor
- No
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 | 7421 | CT | Primary |
Addresses
Primary practice location
1 Bradley Rd
Suite #801
Woodbridge, CT 06525-2296
Mailing address
1 Bradley Rd
Suite #801
Woodbridge, CT 06525-2296
Phone (203) 389-4593
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080007421CT07 | Other | CT | ANTHEM BC BS |
| 080007421CT05 | Other | CT | ANTHEM BC BS |
| 080007421CT06 | Other | CT | ANTHEM BC BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040105000257 | CT | Practitioner - Physical Therapist in Private Practice | 6305745829 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Bradley Rd
Suite 801
Woodbridge, CT 06525-2296
Phone (202) 389-4593
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 7421 | CT | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Amity Physical Therapy LLC | Physical Therapist | Current | Accepting new patients |
| Foot & Ankle Physical Therapy & Rehab Medicine | Physical Therapist | Past | Accepting new patients |
| Active Orthopedic Therapy PC | Physical Therapist | Past | Accepting new patients |
| Integrated Rehabilitation Services, LLC | Physical Therapist | Past | Accepting new patients |
Locations
103 N Main St
Branford, CT 06405
Phone (203) 315-7071
2320 Whitney Ave
Hamden, CT 06518
Phone (203) 691-6248
316 Main St
Wallingford, CT 06492
Phone (203) 626-5330
1 Bradley Rd
Ste 801
Woodbridge, CT 06525
Phone (202) 389-4593
Organizations & group practices 4
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.
-
- Physical Therapist
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- NPI 1790813947
-
- Physical Therapist
- Milford, CT
- NPI 1164591459
-
- Physical Therapist
- Vernon, CT
- NPI 1104867951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161820800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1326326400000",
"number": "1720163009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 BRADLEY RD",
"address_2": "SUITE #801",
"city": "WOODBRIDGE",
"state": "CT",
"postal_code": "065252296",
"telephone_number": "203-389-4593",
"fax_number": "203-389-4609"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 BRADLEY RD",
"address_2": "SUITE #801",
"city": "WOODBRIDGE",
"state": "CT",
"postal_code": "065252296",
"telephone_number": "203-389-4593",
"fax_number": "203-389-4609"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "JOEL",
"credential": "MSPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-26",
"last_updated": "2012-01-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "7421",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC BS",
"identifier": "080007421CT07",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC BS",
"identifier": "080007421CT05",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC BS",
"identifier": "080007421CT06",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Woodbridge, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2012; 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.