Individual provider Active NPI

Kenneth Kregling, DPT

  • Physical Therapist
  • Hamden, CT
National Provider Identifier
1851884902
Registry record updated Dec 9, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11790 Issued in CT
Practice address
2416 Whitney Ave
Hamden, CT 06518-3248
Phone
(203) 407-3590
Fax
(203) 466-8527
NPI assigned
Jun 13, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 9, 2020

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 11790 CT Primary

Addresses

Primary practice location

2416 Whitney Ave
Hamden, CT 06518-3248

Mailing address

2408 Whitney Ave
Hamden, CT 06518-3209
Phone (203) 626-0160

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180620001990 CT Practitioner - Physical Therapist in Private Practice 1658626312 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anb-Ptsma Holdings IncGroup PAC ID 4789572926, 190 clinicians

Practice addresses (Care Compare)

103 E Main St
Unit C
Plainville, CT 06062-1968
Phone (860) 517-8885

860 N Main St Ext
Wallingford, CT 06492-2449
Phone (203) 793-7592

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Anb-Ptsma Holdings, Inc. Physical Therapist CurrentSince Jan 25, 2021 Accepting new patients

Locations

103 E Main St
Unit C
Plainville, CT 06062
Phone (860) 517-8885

860 N Main Street Ext
Wallingford, CT 06492
Phone (203) 793-7592

47 N Main St
West Hartford, CT 06107
Phone (860) 409-4595

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": "1528848000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1607472000000",
    "number": "1851884902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183209",
            "telephone_number": "203-626-0160",
            "fax_number": "203-294-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2416 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183248",
            "telephone_number": "203-407-3590",
            "fax_number": "203-466-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KREGLING",
        "first_name": "KENNETH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-13",
        "last_updated": "2020-12-09",
        "certification_date": "2020-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "11790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hamden, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2020; 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.