Advanced Physical Therapy, LLC
Organization Active NPI Physical Therapist · Wolcott, CT
NPI 1861677262 · NPPES record last updated Dec 10, 2025
Key facts
- NPI
- 1861677262
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- ADVANCED PHYSICAL THERAPY, LLC
- Practice address
- 465 Wolcott Rd
Wolcott, CT 06716-2613 - Phone
- (203) 879-0107
- Fax
- (203) 879-0206
- NPI assigned
- Jan 3, 2008
- Organization subpart
- No
Authorized official
- Name
- Jennifer P Delgado, PT
- Title
- Billing
- Phone
- (203) 441-4261
Practitioners 40
-
Samantha Rae Chasse, DPT
-
Tara Donnelly, PT
-
Amanda Ruth Holtzman, DPT
-
Kevin R Huber, PHYSICAL THERAPIST
-
Pamela Hubert, PT
-
Jason J Lawrence, PHYSICAL THERAPIST
-
Justina Leung, PT
-
Angie J Louis, PT
-
Kevin T Tucker, DPT
-
Roxanne G Bafuma, RPT
-
David M Donnelly, RPT
-
Ryan A Edgar, PT
-
Matthew Edwards, PT, DPT
-
Brianna Alexis Testa, DPT
-
Erin Lee Girard, P.T.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20080219000453 | CT | Part B Supplier - Clinic/Group Practice | 7315020005 |
Receives reassigned benefits from 36 practitioners Practice locations: Wolcott, CT |
National Provider Directory
Locations
292 Spielman Hwy
Burlington, CT 06013
Phone (860) 404-2924
311 Main St
Terryville, CT 06786
Phone (860) 314-2891
465 Wolcott Rd
Wolcott, CT 06716
Phone (203) 441-4261
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
465 Wolcott Rd
Wolcott, CT 06716-2613
Mailing address
465 Wolcott Rd
Wolcott, CT 06716-2613
Phone (203) 879-0107
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0121902 | Other | CT | ORTHONET |
| 613042400 | Other | CT | DEPARTMENT OF LABOR |
Other providers in Wolcott, CT
- A New Perspective Counseling Services LLC
- Advanced Dermatology Center, PC
- Advanced Spine and Sports Care, L.L.C.
- Anchor and Bloom Healing LLC
- Associates in Medicine
- Andrea Becker-Abbott
- Amy L Belden
All providers in Wolcott, 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 Dec 10, 2025. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.