Individual provider Active NPI

Brian Thomas Wolfe, PT, DPT

  • Physical Therapist
  • Darien, CT
National Provider Identifier
1881998532
Registry record updated Jan 13, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9580 Issued in CT
Practice address
349 Post Rd
Darien, CT 06820-3606
Phone
(475) 209-9420
Fax
(475) 209-9421
NPI assigned
Jan 10, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12977 NC
Physical Therapist 225100000X 9580 CT Primary

Addresses

Primary practice location

349 Post Rd
Darien, CT 06820-3606

Mailing address

25 Old Kings Hwy N Ste 13
Darien, CT 06820-4608
Phone (914) 960-4085

Other practice location 1

200 Pemberwick Rd
Greenwich, CT 06831-4236
Phone (203) 998-6522

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130226000496 CT Practitioner - Physical Therapist in Private Practice 2062696610 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Group practices
Evolution Physical Therapy LLCGroup PAC ID 5092084244, 9 clinicians

Practice addresses (Care Compare)

349 Post Rd
Darien, CT 06820-3606
Phone (475) 209-9420

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
12977NCMDMassage Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ibis Medical Care PLLC CurrentSince Nov 8, 2022 Accepting new patients

Organizations & group practices 3

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": "1294617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642032000000",
    "number": "1881998532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25 OLD KINGS HWY N STE 13",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204608",
            "telephone_number": "914-960-4085",
            "fax_number": "203-475-9421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 POST RD",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068203606",
            "telephone_number": "475-209-9420",
            "fax_number": "475-209-9421"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Pemberwick Rd",
            "address_purpose": "LOCATION",
            "city": "Greenwich",
            "state": "CT",
            "postal_code": "068314236",
            "country_code": "US",
            "telephone_number": "203-998-6522",
            "fax_number": "475-209-9421",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOLFE",
        "first_name": "BRIAN",
        "middle_name": "THOMAS",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-01-10",
        "last_updated": "2022-01-13",
        "certification_date": "2022-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "12977",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "9580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2022; 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.