Individual provider Active NPI

Michael Esposito

  • Physical Therapist
  • Shelton, CT
National Provider Identifier
1760110167
Registry record updated Aug 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
13647 Issued in CT
Practice address
216 Leavenworth Rd
Shelton, CT 06484-1809
Phone
(203) 803-4465
NPI assigned
Aug 12, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2022

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 13647 CT Primary

Addresses

Primary practice location

216 Leavenworth Rd
Shelton, CT 06484-1809

Mailing address

216 Leavenworth Rd
Shelton, CT 06484-1809
Phone (203) 803-4465

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220929002095 CT Practitioner - Physical Therapist in Private Practice 8123404001 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Strive2Livewell LLCGroup PAC ID 1456766625, 4 clinicians

Practice addresses (Care Compare)

220 Leavenworth Rd
Shelton, CT 06484-1809
Phone (203) 803-4465

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
13647CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Strive2Livewell, LLC CurrentSince Sep 1, 2022 Accepting new patients

Locations

216 Leavenworth Rd
Shelton, CT 06484
Phone (203) 803-4465

220 Leavenworth Rd
Shelton, CT 06484
Phone (203) 803-4465

Organizations & group practices 1

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": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660521600000",
    "number": "1760110167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "216 LEAVENWORTH RD",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064841809",
            "telephone_number": "203-803-4465"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 LEAVENWORTH RD",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064841809",
            "telephone_number": "203-803-4465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESPOSITO",
        "first_name": "MICHAEL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-15",
        "certification_date": "2022-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "13647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2022; 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.