Individual provider Active NPI

Roxanne G Bafuma, RPT

  • Physical Therapist
  • Southington, CT
National Provider Identifier
1740234202
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006933 Issued in CT
Practice address
360 N Main St
Suite 9
Southington, CT 06489-2503
Phone
(860) 621-7389
Fax
(860) 621-2586
NPI assigned
May 20, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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 006933 CT Primary

Addresses

Primary practice location

360 N Main St
Suite 9
Southington, CT 06489-2503

Mailing address

360 N Main St
Suite 9
Southington, CT 06489-2503
Phone (860) 621-7389

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050228000783 CT Practitioner - Physical Therapist in Private Practice 1052364221 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
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)

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006933CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Community Physical Therapy Physical Therapist Past Accepting new patients
Orthopedic Physical Therapy LLC Physical Therapist Past Accepting new patients

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": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1740234202",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N MAIN ST",
            "address_2": "SUITE 9",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892503",
            "telephone_number": "860-621-7389",
            "fax_number": "860-621-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 N MAIN ST",
            "address_2": "SUITE 9",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892503",
            "telephone_number": "860-621-7389",
            "fax_number": "860-621-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAFUMA",
        "first_name": "ROXANNE",
        "middle_name": "G",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "006933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.