Organization Active NPI

Physio360 LLC

  • Orthopedic Physical Therapist
  • Stonington, CT
National Provider Identifier
1851238273
Registry record updated May 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
Legal business name
PHYSIO360 LLC
Practice address
903 Pequot TRL
Stonington, CT 06378-2232
Phone
(401) 308-2271
NPI assigned
May 4, 2026
Last updated
May 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2026

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

Authorized official

Name
Joshua Ambeau, PT, DPTNPI 1578162236
Title
Owner, Physical Therapist
Phone
(401) 308-2271

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X NU Primary

Addresses

Primary practice location

903 Pequot TRL
Stonington, CT 06378-2232

Mailing address

903 Pequot TRL
Stonington, CT 06378-2232
Phone (401) 308-2271

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260605001737 CT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 8123599669 Receives reassigned benefits from 1 practitioner
Practice locations: Stonington, CT

National Provider Directory

National Provider Directory

Locations

903 Pequot Trl
Stonington, CT 06378
Phone (401) 308-2271

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1777852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777852800000",
    "number": "1851238273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 PEQUOT TRL",
            "city": "STONINGTON",
            "state": "CT",
            "postal_code": "063782232",
            "telephone_number": "401-308-2271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 PEQUOT TRL",
            "city": "STONINGTON",
            "state": "CT",
            "postal_code": "063782232",
            "telephone_number": "401-308-2271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIO360 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-04",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-03",
        "status": "A",
        "authorized_official_last_name": "AMBEAU",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "401-308-2271",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stonington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.