Active NPI
Michael A D'Aquila, PT
- Physical Therapist
- Prospect, CT
National Provider Identifier
1811999568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 007243
- Practice address
- 166 Waterbury Rd
Prospect, CT 06712-1200 - Phone
- (203) 758-4118
- Fax
- (203) 758-7856
- NPI assigned
- Aug 12, 2005
- Last updated
- Jul 9, 2007
- 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 | 007243 | CT | Primary |
Addresses
Primary practice location
166 Waterbury Rd
Prospect, CT 06712-1200
Mailing address
31 Old Route 7
Brookfield, CT 06804-1714
Phone (203) 740-0020
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 |
|---|---|---|---|
| 007243 | CT | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Services of Guilford LLC | Physical Therapist | Current | Accepting new patients |
| Fox Rehab PT CT, LLC | Physical Therapist | Current | Accepting new patients |
| Advanced Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Greater Hartford Physical Therapy | Physical Therapist | Past | Accepting new patients |
| Integrated Rehabilitation Services, LLC | Physical Therapist | Past | Accepting new patients |
| Shaws Cove Orthopaedics, LLC | Past | Accepting new patients | |
| Integrated Rehabilitation Services Limited Partnership | Physical Therapist | Past | Accepting new patients |
Locations
500 E Main St
Ste 310
Branford, CT 06405
Phone (203) 315-7727
166 Waterbury Rd
Prospect, CT 06712
Phone (203) 264-7999
465 Wolcott Rd
Wolcott, CT 06716
Phone (203) 441-4261
Organizations & group practices 7
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.
-
- Physical Therapist
- Wolcott, CT
- NPI 1861677262
-
- Physical Therapist
- Wilton, CT
- NPI 1245584234
-
- Physical Therapist
- Branford, CT
- NPI 1235351289
-
- Physical Therapist
- Hartford, CT
- NPI 1093927634
-
- Physical Therapist
- Vernon, CT
- NPI 1346969532
-
- Physical Therapist
- Vernon, CT
- NPI 1104867951
-
- Orthopaedic Surgery Physician
- New London, CT
- NPI 1275554222
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1123804800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1811999568",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 OLD ROUTE 7",
"city": "BROOKFIELD",
"state": "CT",
"postal_code": "068041714",
"telephone_number": "203-740-0020",
"fax_number": "203-775-0238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 WATERBURY RD",
"city": "PROSPECT",
"state": "CT",
"postal_code": "067121200",
"telephone_number": "203-758-4118",
"fax_number": "203-758-7856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "D'AQUILA",
"first_name": "MICHAEL",
"middle_name": "A",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-08-12",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "007243",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prospect, CT
- Connectcare and Wellness Limited Liability Company
- Connecticut CVS Pharmacy, L.L.C. (CVS Pharmacy # 01244)
- Stephen Thomas Coppola, D.M.D.
- Currents Aligned Counseling Services, PLLC
- Kathryn Cyr
- Jeffrey Paul Dalessandro, RPH
- Dredhza Dauti, PHARMD
- Carolyn Davis, LCSW
- Deborah S Grove LMFT LLC
- Carol Denomme, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.