Active NPI
William McHenry
- Physical Therapist
- Trumbull, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 115 Technology Dr
Suite B100
Trumbull, CT 06611-6337 - Phone
- (203) 268-8888
- NPI assigned
- Aug 30, 2006
- 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 | Primary |
Addresses
Primary practice location
115 Technology Dr
Suite B100
Trumbull, CT 06611-6337
Mailing address
12 Beckett Ave
Branford, CT 06405-4806
Phone (203) 255-8888
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 005388 | Other | CT | LICENSE |
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
- University of Connecticut School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Washington Blvd
Stamford, CT 06902-8904
Phone (475) 268-0030
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 005388 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ptsma, Inc. | Current | Accepting new patients | |
| Ptsma Inc | Current | Accepting new patients | |
| Ptsma, Inc. | Physical Therapist | Current | Accepting new patients |
| Connecticut Orthopaedic Specialists, PC | Physical Therapist | Past | Accepting new patients |
| The Orthopaedic and Sports Medicine Center | Past | Accepting new patients | |
| Connectcare | Past | Accepting new patients |
Locations
37 S Broad St
Ste 12
Pawcatuck, CT 06379
Phone (860) 495-1919
150 Washington Blvd
Stamford, CT 06902
Phone (475) 268-0030
115 Technology Dr
Unit B100
Trumbull, CT 06611
Phone (203) 261-1178
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Manchester, CT
- NPI 1619393337
-
- Physical Therapy Clinic/Center
- Stamford, CT
- NPI 1396354908
-
- Home Health Agency
- Guilford, CT
- NPI 1346617115
-
- Orthopaedic Surgery Physician
- Hamden, CT
- NPI 1235181389
Physical Therapist
-
- Orthopaedic Surgery Physician
- Westport, CT
- NPI 1013468719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1831209345",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 BECKETT AVE",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064054806",
"telephone_number": "203-255-8888"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "115 TECHNOLOGY DR",
"address_2": "SUITE B100",
"city": "TRUMBULL",
"state": "CT",
"postal_code": "066116337",
"telephone_number": "203-268-8888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCHENRY",
"first_name": "WILLIAM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-30",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "005388",
"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 8, 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.