Individual provider Active NPI

Michael A D'Aquila, PT

  • Physical Therapist
  • Prospect, CT
National Provider Identifier
1811999568
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007243 Issued in CT
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, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 9, 2007

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 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

LicenseStateTypeSpecialty
007243CTMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Physical Therapy Services of Guilford LLC Physical Therapist CurrentSince Nov 20, 2019 Accepting new patients
Fox Rehab PT CT, LLC Physical Therapist CurrentSince Oct 22, 2018 Accepting new patients
Advanced Physical Therapy, LLC Physical Therapist CurrentSince Dec 19, 2024 Accepting new patients
Greater Hartford Physical Therapy Physical Therapist Past Accepting new patients
Integrated Rehabilitation Services, LLC Physical Therapist PastSince Jan 9, 2004 Accepting new patients
Shaws Cove Orthopaedics, LLC PastSince Feb 21, 2006 Accepting new patients
Integrated Rehabilitation Services Limited Partnership Physical Therapist PastSince Aug 28, 2022 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.

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

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.

Verify at the official NPI Registry.