Active NPI
Physical Therapy Associates Inc
- Physical Therapist
- Waterbury, CT
National Provider Identifier
1851359186
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 001428
- Legal business name
- PHYSICAL THERAPY ASSOCIATES INC
- Practice address
- 417 Highland Ave
Suite 2
Waterbury, CT 06708-3454 - Phone
- (203) 573-9806
- Fax
- (203) 573-9806
- NPI assigned
- May 3, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Joyce L Bea, RPT
- Title
- Owner Physical Therapist
- Phone
- (203) 573-9806
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 001428 | CT | Primary |
Addresses
Primary practice location
417 Highland Ave
Suite 2
Waterbury, CT 06708-3454
Mailing address
417 Highland Ave
Suite 2
Waterbury, CT 06708-3454
Phone (203) 573-9806
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0506722 | Other | US HEALTHCARE | |
| 6404274 | Other | UNITED HEALTHCARE | |
| ANC733 | Other | OXFORD | |
| OV1720 | Other | HEALTH NET | |
| 080001428CT02 | Other | BCBS |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1851359186",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "417 HIGHLAND AVE",
"address_2": "SUITE 2",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067083454",
"telephone_number": "203-573-9806",
"fax_number": "203-573-9806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "417 HIGHLAND AVE",
"address_2": "SUITE 2",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067083454",
"telephone_number": "203-573-9806",
"fax_number": "203-573-9806"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PHYSICAL THERAPY ASSOCIATES INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-03",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "BEA",
"authorized_official_first_name": "JOYCE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER PHYSICAL THERAPIST",
"authorized_official_telephone_number": "203-573-9806",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "RPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CT",
"license": "001428",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "US HEALTHCARE",
"identifier": "0506722",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "6404274",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD",
"identifier": "ANC733",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET",
"identifier": "OV1720",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "080001428CT02",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.