Individual provider Active NPI

William McHenry

  • Physical Therapist
  • Trumbull, CT
National Provider Identifier
1831209345
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Jul 8, 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 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

IdentifierTypeStateIssuer
005388OtherCTLICENSE

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050111000849 CT Practitioner - Physical Therapist in Private Practice 4385692862 Reassigns benefits to 1 organization

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
Ptsma IncGroup PAC ID 7911800180, 173 clinicians

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

LicenseStateTypeSpecialty
005388CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ptsma, Inc. CurrentSince Sep 1, 2020 Accepting new patients
Ptsma Inc CurrentSince Sep 1, 2020 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 PastSince Mar 14, 2019 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.

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.

Verify at the official NPI Registry.