Saifulla Baig Mirza, RPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007901 Issued in CT

Practice address

248 Maple Ave
North Haven, CT 06473-3342

Phone

(708) 271-7371

NPI assigned

May 6, 2010

Last updated

Sep 15, 2016By the provider in NPPES

Sex

Male

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

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2003

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Pioneer Rehab LLC

  • Physical Therapist
  • Hamden, CT
  • NPI 1164970489
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473897600000",
    "number": "1801114475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "248 MAPLE AVE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733342",
            "telephone_number": "708-271-7371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "248 MAPLE AVE",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064733342",
            "telephone_number": "708-271-7371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRZA",
        "first_name": "SAIFULLA",
        "middle_name": "BAIG",
        "name_prefix": "Mr.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-06",
        "last_updated": "2016-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007901",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Clare Michalak, NBHWC
• David Mikos, D.C., P.T., M.C.T.A.
• Laura Miller
• Mindful Mediation LLC
• Lindsey Miranda, LADC
• Lauren Mitchell, APRN
• Lisa Mohr, LCSW
• Monique Proto, LLC
• Montowese Acquisition Operator, LLC (Montowese Center for Health & Rehabilitation)
• Montowese Chiropractic Center LLC

• Physical Therapist in North Haven, CT
• Providers in North Haven, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2016; 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.