Individual provider Active NPI

Noah Haberman

  • Physical Therapist
  • Norwalk, CT
National Provider Identifier
1780554949
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14.015182 Issued in CT
Practice address
20 Glover Ave
Norwalk, CT 06850-1219
Phone
(203) 957-8100
NPI assigned
Nov 11, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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 14.015182 CT Primary

Addresses

Primary practice location

20 Glover Ave
Norwalk, CT 06850-1219

Mailing address

143 Georgetown Rd
Weston, CT 06883-1032
Phone (203) 216-9414

Other practice location 1

349 Post Rd
Darien, CT 06820-3606
Phone (475) 209-9420

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260330000533 CT Practitioner - Physical Therapist in Private Practice 8224513122 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ctsports Physical Therapy and Wellness LLCGroup PAC ID 3870736135, 5 clinicians

Practice addresses (Care Compare)

20 Glover Ave
Norwalk, CT 06850-1219
Phone (203) 957-8100

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14.015182CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ctsports Physical Therapy & Wellness LLC Physical Therapist CurrentSince Nov 18, 2025 Accepting new patients
Evolution Physical Therapy, LLC Physical Therapist PastSince Aug 21, 2019 Accepting new patients

Locations

20 Glover Ave
Norwalk, CT 06850
Phone (203) 957-8100

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.

NPI Registry JSON

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

{
    "created_epoch": "1762819200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1780554949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "143 GEORGETOWN RD",
            "city": "WESTON",
            "state": "CT",
            "postal_code": "068831032",
            "telephone_number": "203-216-9414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 GLOVER AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068501219",
            "telephone_number": "203-957-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "349 Post Rd",
            "address_purpose": "LOCATION",
            "city": "Darien",
            "state": "CT",
            "postal_code": "068203606",
            "country_code": "US",
            "telephone_number": "475-209-9420",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABERMAN",
        "first_name": "NOAH",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-11-11",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "14.015182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2025; 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.