Individual provider Active NPI

Joseph A. Mortati, DPT

  • Specialist
  • Trumbull, CT
National Provider Identifier
1831102862
Registry record updated Jul 9, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
005669 Issued in CT
Practice address
4154 Madison Ave
Trumbull, CT 06611-3563
Phone
(203) 372-5718
Fax
(203) 372-0291
NPI assigned
Aug 14, 2006
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
Specialist 174400000X 005669 CT Primary

Addresses

Primary practice location

4154 Madison Ave
Trumbull, CT 06611-3563

Mailing address

4154 Madison Ave
Trumbull, CT 06611-3563
Phone (203) 372-5718

Other identifiers 9

IdentifierTypeStateIssuer
0941807003OtherCTCIGNA
2V8089OtherCTHEALTHNET
7482792OtherCTAETNA
2022372OtherCTUNITED HEALTH CARE
657588OtherCTCONNECTICARE
P1944369OtherCTOXFORD
10401OtherCTCIGNA (ORTHONET)
S57D01OtherCTEMPIRE (ORTHONET)
080005669CT10OtherCTANTHEM BC/BS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040216000144 CT Practitioner - Physical Therapist in Private Practice 4587558127 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4154 Madison Ave
Trumbull, CT 06611-3563
Phone (203) 372-5718

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
005669CTMDSchool Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Aftercare Physical Therapy Services LLC Specialist CurrentSince Sep 1, 1999 Accepting new patients

Locations

4154 Madison Ave
Trumbull, CT 06611
Phone (203) 372-5718

4154 Madison Ave
Ste 204
Trumbull, CT 06611

Organizations & group practices 1

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1831102862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4154 MADISON AVE",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113563",
            "telephone_number": "203-372-5718",
            "fax_number": "203-372-0291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4154 MADISON AVE",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113563",
            "telephone_number": "203-372-5718",
            "fax_number": "203-372-0291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORTATI",
        "first_name": "JOSEPH",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "005669",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0941807003",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2V8089",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7482792",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "2022372",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "657588",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P1944369",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA (ORTHONET)",
            "identifier": "10401",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMPIRE (ORTHONET)",
            "identifier": "S57D01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "080005669CT10",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Trumbull, 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.
  • 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.