Individual provider Active NPI

Richard Joseph Preneta Jr., PT

  • Physical Therapist
  • Fairfield, CT
National Provider Identifier
1851376867
Registry record updated Apr 25, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3438 Issued in CT
Practice address
2119 Post Rd
Fairfield, CT 06824-5657
Phone
(203) 259-7177
NPI assigned
Dec 13, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 25, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 3438 CT Primary

Addresses

Primary practice location

2119 Post Rd
Fairfield, CT 06824-5657

Mailing address

2119 Post Rd
Fairfield, CT 06824-5657
Phone (203) 259-7177

Other identifiers 1

IdentifierTypeStateIssuer
080003438OtherCTBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070625000583 CT Practitioner - Physical Therapist in Private Practice 7113026634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Preneta Physical Therapy, PCGroup PAC ID 0143398933, 4 clinicians

Practice addresses (Care Compare)

913 Post Rd
Fairfield, CT 06824-6048
Phone (203) 259-7177

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
003438CTMDProfessional Counselor
3438CTMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Preneta Physical Therapy, PC CurrentSince May 22, 2008 Accepting new patients

Locations

2119 Post Rd
Fairfield, CT 06824
Phone (203) 259-7177

913 Post Rd
Fairfield, CT 06824
Phone (203) 259-7177

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.

NPI Registry JSON

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

{
    "created_epoch": "1134432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366848000000",
    "number": "1851376867",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2119 POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245657",
            "telephone_number": "203-259-7177",
            "fax_number": "203-256-9217"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2119 POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245657",
            "telephone_number": "203-259-7177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRENETA",
        "first_name": "RICHARD",
        "middle_name": "JOSEPH",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-13",
        "last_updated": "2013-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "3438",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "080003438",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2013; 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.

Verify at the official NPI Registry.