Active NPI
John L. Payne, PT
- Physical Therapist
- Cheshire, CT
National Provider Identifier
1760440820
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 002770
- Practice address
- 475 S Main St
Cheshire, CT 06410-3164 - Phone
- (203) 271-2928
- Fax
- (203) 699-8445
- NPI assigned
- May 1, 2006
- 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 | 002770 | CT | Primary |
Addresses
Primary practice location
475 S Main St
Cheshire, CT 06410-3164
Mailing address
475 S Main St
Cheshire, CT 06410-3164
Phone (203) 271-2928
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08-0002770CT01 | Other | CT | ANTHEM BC/BS |
| 004082202 | Medicaid | CT | |
| 508878 | Other | CT | AETNA |
| CD8409 | Other | CT | RR MEDICARE |
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 |
|---|---|---|---|
| 002770 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146441600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1352332800000",
"number": "1760440820",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "475 S MAIN ST",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064103164",
"telephone_number": "203-271-2928",
"fax_number": "203-699-8445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "475 S MAIN ST",
"city": "CHESHIRE",
"state": "CT",
"postal_code": "064103164",
"telephone_number": "203-271-2928",
"fax_number": "203-699-8445"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAYNE",
"first_name": "JOHN",
"middle_name": "L.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-01",
"last_updated": "2012-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "002770",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BC/BS",
"identifier": "08-0002770CT01",
"state": "CT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004082202",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "508878",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "CD8409",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cheshire, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.