Active NPI
Ronald Matthew Barbieri
- Physical Therapist
- Waterbury, CT
National Provider Identifier
1750687901
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9420
- Practice address
- 1211 W Main St
Waterbury, CT 06708-3106 - Phone
- (203) 753-6043
- Fax
- (203) 574-3127
- NPI assigned
- Feb 7, 2011
- Last updated
- Mar 19, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 7329920 | NY | |
| Physical Therapist | 225100000X | 9420 | CT | Primary |
Addresses
Primary practice location
1211 W Main St
Waterbury, CT 06708-3106
Mailing address
47 N Main St
West Hartford, CT 06107-1926
Phone (860) 409-4595
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 |
|---|---|---|---|
| 9420 | CT | MD | General Practice Dentistry |
| 7329920 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Rehabilitation Services, LLC | Physical Therapist | Past | Accepting new patients |
| Anb-Ptsma Holdings, Inc. | Physical Therapist | Past | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Physical Therapy & Sports Medicine Centers
- Physical Therapist
- West Hartford, CT
- NPI 1659453371
-
- Physical Therapist
- Vernon, CT
- NPI 1104867951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1297036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1426723200000",
"number": "1750687901",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 N MAIN ST",
"city": "WEST HARTFORD",
"state": "CT",
"postal_code": "061071926",
"telephone_number": "860-409-4595",
"fax_number": "860-409-4860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1211 W MAIN ST",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067083106",
"telephone_number": "203-753-6043",
"fax_number": "203-574-3127"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARBIERI",
"first_name": "RONALD",
"middle_name": "MATTHEW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-02-07",
"last_updated": "2015-03-19",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "7329920",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "9420",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.