Michael T Daley, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

002030 Issued in CT

Practice address

360 N Main St
Suite 9
Southington, CT 06489-2503

Phone

(860) 621-7389

Fax

(860) 621-2586

NPI assigned

May 25, 2006

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Community Physical Therapy

  • Physical Therapist
  • Wolcott, CT
  • NPI 1528275872
  NPD (past) Authorized official
• Michael Daley

  • Physical Therapist
  • Southington, CT
  • NPI 1821292780
  NPD (past) Authorized official
• Orthopedic Physical Therapy LLC

  • Physical Therapist
  • Southington, CT
  • NPI 1699950014
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1321920000000",
    "number": "1841246733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 N MAIN ST",
            "address_2": "SUITE 9",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892503",
            "telephone_number": "860-621-7389",
            "fax_number": "860-621-2586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 N MAIN ST",
            "address_2": "SUITE 9",
            "city": "SOUTHINGTON",
            "state": "CT",
            "postal_code": "064892503",
            "telephone_number": "860-621-7389",
            "fax_number": "860-621-2586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALEY",
        "first_name": "MICHAEL",
        "middle_name": "T",
        "name_prefix": "Mr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2011-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "002030",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004052924",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mitchell Aaron Cunningham, DO
• Katie Cushman, LCSW
• Eleanor Cyr, LPN
• Maria D'Amore, LICENSED OPTICIAN
• Karen A Daigle Destefano, LADC, LPC
• Kaitlyn Dana
• Vuong Duc Dang, PA
• Michael J Dawson, PA
• Joyce Cerejo Day, PH.D; LPC
• Dca Inc

• Physical Therapist in Southington, CT
• Providers in Southington, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.

Verify at the official NPI Registry.