Active NPI
Joseph A. Mortati, DPT
- Specialist
- Trumbull, CT
National Provider Identifier
1831102862
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 005669
- 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, 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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0941807003 | Other | CT | CIGNA |
| 2V8089 | Other | CT | HEALTHNET |
| 7482792 | Other | CT | AETNA |
| 2022372 | Other | CT | UNITED HEALTH CARE |
| 657588 | Other | CT | CONNECTICARE |
| P1944369 | Other | CT | OXFORD |
| 10401 | Other | CT | CIGNA (ORTHONET) |
| S57D01 | Other | CT | EMPIRE (ORTHONET) |
| 080005669CT10 | Other | CT | ANTHEM BC/BS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 005669 | CT | MD | School Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aftercare Physical Therapy Services LLC | Specialist | Current | 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.
-
- Specialist
- Trumbull, CT
- NPI 1649476730
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.