Jeffrey Hoerst, DPT
Individual provider Active NPI Physical Therapist · Prospect, CT
NPI 1851892020 · NPPES record last updated Feb 23, 2018
Key facts
- NPI
- 1851892020
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 11738 (CT)
- Practice address
- 166 Waterbury Rd
Prospect, CT 06712-1200 - Phone
- (203) 805-4795
- Fax
- (203) 805-4971
- NPI assigned
- Feb 23, 2018
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare Care Compare profile
- 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 Inc
Practice addresses (Care Compare)
124 Hebron Ave
Suite 1D
Glastonbury, CT 06033-2039
Phone (860) 781-6999
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180319002255 | CT | Practitioner - Physical Therapist in Private Practice | 1658633235 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anb-Ptsma Holdings, Inc. | Physical Therapist | Current |
Accepting new patients |
| Community Physical Therapy | Physical Therapist | Past | Accepting new patients |
Locations
124 Hebron Ave
Ste 1D
Glastonbury, CT 06033
Phone (860) 781-6999
103 E Main St
Unit C
Plainville, CT 06062
Phone (860) 517-8885
47 N Main St
West Hartford, CT 06107
Phone (860) 409-4595
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 11738 | CT | Yes |
Addresses
Primary practice location
166 Waterbury Rd
Prospect, CT 06712-1200
Mailing address
465 Wolcott Rd
Wolcott, CT 06716-2613
Phone (203) 441-4261
Other providers in Prospect, CT
- Greater Waterbury Retina, LLC
- Deborah Grove
- Robert Steven Guynn
- George J Hajjar
- Gary Arthur Higgins
- Debra Anne Hudobenko
- Hwang Long Term Dental
- I Care Eye Care L.L.C.
- Brooke Cady Iannone
- Mary Ann Indorf
All providers in Prospect, CT · Physical Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 23, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.