Active NPI
Maureen Munson-Bette
- Physical Therapist
- Woodbury, CT
National Provider Identifier
1780784959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1680
- Practice address
- 264 Main St S Ste 200
Woodbury, CT 06798-3407 - Phone
- (203) 263-0002
- Fax
- (203) 263-0090
- NPI assigned
- Sep 25, 2006
- Sex
- Female
- 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 | 1680 | CT | Primary |
Addresses
Primary practice location
264 Main St S Ste 200
Woodbury, CT 06798-3407
Mailing address
264 Main St S Ste 200
Woodbury, CT 06798-3407
Phone (203) 263-0002
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6697775 | Other | CT | GHI |
| 08000168CT07 | Other | CT | BCBS |
| 7467 | Other | CT | EMPIRE PPO |
| P2775789 | Other | CT | OXFORD |
| 630019 | Other | CT | CONNECTICARE |
| 2V6534 | Other | CT | HEALTHNET |
| 44101 | Other | CT | CIGNA |
| 7871305 | Other | CT | AETNA |
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 |
|---|---|---|---|
| 1680 | CT | MD | Behavioral Analyst |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159142400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1208995200000",
"number": "1780784959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "264 MAIN ST S STE 200",
"city": "WOODBURY",
"state": "CT",
"postal_code": "067983407",
"telephone_number": "203-263-0002",
"fax_number": "023-263-0090"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "264 MAIN ST S STE 200",
"city": "WOODBURY",
"state": "CT",
"postal_code": "067983407",
"telephone_number": "203-263-0002",
"fax_number": "203-263-0090"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUNSON-BETTE",
"first_name": "MAUREEN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-25",
"last_updated": "2008-04-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "1680",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GHI",
"identifier": "6697775",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "08000168CT07",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EMPIRE PPO",
"identifier": "7467",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "P2775789",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CONNECTICARE",
"identifier": "630019",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2V6534",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "44101",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7871305",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Woodbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.