Marybeth Hafele, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

000239 Issued in CT

Practice address

209 Cherry St
Milford, CT 06460-3501

Phone

(203) 874-5437

NPI assigned

Feb 2, 2016

Last updated

Feb 2, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1454371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454371200000",
    "number": "1780042044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "87 PLASKON DR",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064844325",
            "telephone_number": "203-564-4960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 CHERRY ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603501",
            "telephone_number": "203-874-5437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAFELE",
        "first_name": "MARYBETH",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-02",
        "last_updated": "2016-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CT",
            "license": "000239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Anku Gupta
• Arvind Gupta, MD
• Deepak Gupta, O.D.
• Verene Denise Guthrie-Noel, APRN
• Taylor Hackney, LCSW
• Patrick Donovan Hall
• Melissa Halpin, LCSW
• Hamden Sleep Disorders Center,LLC (Sleep Disorders Center of Connecticut)
• Hamilton Psychotherapy, LLC
• Jessica Hamilton, LCSW

• Physical Therapy Assistant in Milford, CT
• Providers in Milford, CT by specialty
• Physical Therapy Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2016; 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.