Active NPI
Brian Michael Pecchia, DPT, ATC
- Physical Therapist
- Fairfield, CT
National Provider Identifier
1831478015
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 009713
- Practice address
- 5151 Park Ave
Fairfield, CT 06825-1090 - Phone
- (203) 396-8181
- NPI assigned
- Aug 5, 2011
- 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 | 009713 | CT | Primary |
Addresses
Primary practice location
5151 Park Ave
Fairfield, CT 06825-1090
Mailing address
12 Main St
Suite 2
Ellington, CT 06029-3339
Phone (860) 979-1600
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
| License | State | Type | Specialty |
|---|---|---|---|
| 009713 | CT | MD | Physical Therapist |
| 035606 | NY | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Rehabilitation Services, LLC | Physical Therapist | Past | Accepting new patients |
| William S. Bremiller | Physical Therapist | Past | Accepting new patients |
| Integrated Rehabilitation Services Limited Partnership | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 3
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 Therapist
- Vernon, CT
- NPI 1346969532
-
- Physical Therapist
- Vernon, CT
- NPI 1104867951
-
- Physical Therapist
- Millbrook, NY
- NPI 1104976307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1312502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312848000000",
"number": "1831478015",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12 MAIN ST",
"address_2": "SUITE 2",
"city": "ELLINGTON",
"state": "CT",
"postal_code": "060293339",
"telephone_number": "860-979-1600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5151 PARK AVE",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068251090",
"telephone_number": "203-396-8181"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECCHIA",
"first_name": "BRIAN",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "DPT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-08-05",
"last_updated": "2011-08-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "009713",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.