Active NPI
Michael Anthony Uzar, PT
- Physical Therapist
- Cromwell, CT
National Provider Identifier
1720342579
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 011042
- Practice address
- 385 Main St
Cromwell, CT 06416-2308 - Phone
- (860) 365-5613
- NPI assigned
- Jun 26, 2012
- Last updated
- Aug 19, 2016
- 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 | 011042 | CT | Primary |
Addresses
Primary practice location
385 Main St
Cromwell, CT 06416-2308
Mailing address
150 Poquonock Ave
Windsor, CT 06095-2429
Phone (860) 688-5774
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 |
|---|---|---|---|
| 011042 | CT | MD | School Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340668800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1471564800000",
"number": "1720342579",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "150 POQUONOCK AVE",
"city": "WINDSOR",
"state": "CT",
"postal_code": "060952429",
"telephone_number": "860-688-5774"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "385 MAIN ST",
"city": "CROMWELL",
"state": "CT",
"postal_code": "064162308",
"telephone_number": "860-365-5613"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UZAR",
"first_name": "MICHAEL",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-26",
"last_updated": "2016-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "011042",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Cromwell, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.