Active NPI
Patricia Frey Gogliettino, PT
- Physical Therapist
- Bethel, CT
National Provider Identifier
1881986693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5101
- Practice address
- 13 Park Lawn Dr
Bethel, CT 06801-1043 - Phone
- (203) 830-4180
- Fax
- (203) 797-2995
- NPI assigned
- May 11, 2011
- Last updated
- May 11, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5101 | CT | Primary |
Addresses
Primary practice location
13 Park Lawn Dr
Bethel, CT 06801-1043
Mailing address
79 Riverside Rd
Sandy Hook, CT 06482-1233
Phone (203) 426-1312
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1305072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1305072000000",
"number": "1881986693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "79 RIVERSIDE RD",
"city": "SANDY HOOK",
"state": "CT",
"postal_code": "064821233",
"telephone_number": "203-426-1312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13 PARK LAWN DR",
"city": "BETHEL",
"state": "CT",
"postal_code": "068011043",
"telephone_number": "203-830-4180",
"fax_number": "203-797-2995"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GOGLIETTINO",
"first_name": "PATRICIA",
"middle_name": "FREY",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-05-11",
"last_updated": "2011-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "5101",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bethel, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.