Individual provider Active NPI

Cheryl A. Mourges, PHYSICAL THERAPIST

  • Physical Therapist
  • Torrington, CT
National Provider Identifier
1730115304
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
003823 Issued in CT
Practice address
30 Peck Rd
Torrington, CT 06790-6123
Phone
(860) 489-0867
Fax
(860) 489-4473
NPI assigned
Jun 24, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 003823 CT Primary

Addresses

Primary practice location

30 Peck Rd
Torrington, CT 06790-6123

Mailing address

30 Peck Rd
Torrington, CT 06790-6123
Phone (860) 489-0867

Other identifiers 1

IdentifierTypeStateIssuer
003823CT01OtherCTTAX ID

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

LicenseStateTypeSpecialty
003823CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Maletta Pfeiffer & Associates, L.L.C. Past Accepting new patients
Maletta Pfeiffer & Associates, L.L.C. PastSince Sep 1, 2015 Accepting new patients

Organizations & group practices 2

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730115304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 PECK RD",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906123",
            "telephone_number": "860-489-0867",
            "fax_number": "860-489-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 PECK RD",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906123",
            "telephone_number": "860-489-0867",
            "fax_number": "860-489-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOURGES",
        "first_name": "CHERYL",
        "middle_name": "A.",
        "name_prefix": "Ms.",
        "credential": "PHYSICAL THERAPIST",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "003823",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "003823CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Torrington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.