Active NPI
Momnah Javed, DPT
- Physical Therapist
- Wallingford, CT
National Provider Identifier
1831967967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14277
- Practice address
- 701 N Colony Rd
Wallingford, CT 06492-2407 - Phone
- (203) 294-0449
- Fax
- (203) 466-8527
- NPI assigned
- Dec 18, 2023
- Sex
- Female
- 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 | 14277 | CT | Primary |
Addresses
Primary practice location
701 N Colony Rd
Wallingford, CT 06492-2407
Mailing address
2408 Whitney Ave
Hamden, CT 06518-3209
Phone (203) 626-0160
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240125003909 | CT | Practitioner - Physical Therapist in Private Practice | 4486007499 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Ivyrehab Connecticut Inc
Practice addresses (Care Compare)
500 Chase Pkwy
FL 1
Waterbury, CT 06708-3346
Phone (203) 754-2266
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 14277 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab Connecticut, Inc. | Physical Therapist | Current | Accepting new patients |
Locations
101 N Plains Rd
Wallingford, CT 06492
Phone (203) 265-0018
500 Chase Pkwy
Fl 1
Waterbury, CT 06708
Phone (203) 754-2266
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 and National Provider Directory roles.
-
- Physical Therapist
- Old Greenwich, CT
- NPI 1265799365
CT, Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702857600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709769600000",
"number": "1831967967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2408 WHITNEY AVE",
"city": "HAMDEN",
"state": "CT",
"postal_code": "065183209",
"telephone_number": "203-626-0160",
"fax_number": "203-294-6734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 N COLONY RD",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064922407",
"telephone_number": "203-294-0449",
"fax_number": "203-466-8527"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAVED",
"first_name": "MOMNAH",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-12-18",
"last_updated": "2024-03-07",
"certification_date": "2024-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "14277",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wallingford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2024; 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.