Organization Active NPI

Physical Therapy Associates Inc

  • Physical Therapist
  • Waterbury, CT
National Provider Identifier
1851359186
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
001428 Issued in CT
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
0506722OtherUS HEALTHCARE
6404274OtherUNITED HEALTHCARE
ANC733OtherOXFORD
OV1720OtherHEALTH NET
080001428CT02OtherBCBS

National Provider Directory

National Provider Directory

NPI 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.

Verify at the official NPI Registry.