Preferred Therapy Outpatient Services, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

PREFERRED THERAPY OUTPATIENT SERVICES, LLC

Practice address

15 Park Lawn Dr
Bethel, CT 06801-1041

Phone

(203) 790-8520

NPI assigned

Jun 28, 2021

Organization subpart

Yes

Parent organization

PREFERRED THERAPY SOLUTIONS,LLCAs reported in NPPES

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

Authorized official

Name

Mr. David Colella

Title

VP of Finance

Phone

(860) 610-0400

Specialties & licenses 4

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Preferred Therapy Outpatient Services, LLC

  • Physical Therapist
  • Groton, CT
  • NPI 1285431130

  O20210818000902

  Same enrollment
• Preferred Therapy Outpatient Services, LLC

  dba PTOW at Waveny

  • Physical Therapist
  • New Canaan, CT
  • NPI 1619674140

  O20210818000902

  Same enrollment

Part of

Preferred Therapy Solutions LLC

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Marybeth Wetzel Bates, PT

  • Physical Therapist
  • New Canaan, CT
  • NPI 1164763108
  NPD
• Sharon Donnelly, OT

  • Occupational Therapist
  • Bethel, CT
  • NPI 1437636339

  Multi-Specialty

  NPD
• Michele A Morris, PT

  • Physical Therapist
  • Ridgefield, CT
  • NPI 1245202910
  NPD
• Ian H Power, M.CL.SC (SLP)

  • Speech-Language Pathologist
  • New Canaan, CT
  • NPI 1881243418
  NPD
• Kyle Brinkerhoff

  • Physical Therapist
  • West Harrison, NY
  • NPI 1083131452
  NPD
• Rachael Maiocco Percoco, PT

  • Physical Therapist
  • Boston, MA
  • NPI 1073687810
  NPD

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631059200000",
    "number": "1871163451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061093443",
            "telephone_number": "860-610-0400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 PARK LAWN DR",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068011041",
            "telephone_number": "203-790-8520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PREFERRED THERAPY OUTPATIENT SERVICES, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PREFERRED THERAPY SOLUTIONS,LLC",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-09-08",
        "certification_date": "2021-07-05",
        "status": "A",
        "authorized_official_last_name": "COLELLA",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "VP OF FINANCE",
        "authorized_official_telephone_number": "860-610-0400",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Martin Pioli
• Geraldine Poirier, CCC/SLP
• Sri Popuri
• Lisa Anne Pottasch, APRN
• Sujata Pradhan-Peck
• Protea Physical Therapy & Wellness LLC
• R & S Desai PLLC
• Samantha Rambusch
• Mary E Reeves, PH.D.
• Rejuvenate Dental Arts PC

• Physical Therapist in Bethel, CT
• Providers in Bethel, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.