Active NPI
Thomas Pare', P.T.,A.T.,C.
- Physical Therapist
- Clinton, CT
National Provider Identifier
1891791323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3248
- Practice address
- 246 E Main St
Ste 5
Clinton, CT 06413-2245 - Phone
- (860) 664-0366
- Fax
- (860) 669-8206
- NPI assigned
- Jun 21, 2005
- Last updated
- Dec 4, 2007
- Sex
- Male
- 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 | 3248 | CT | Primary |
Addresses
Primary practice location
246 E Main St
Ste 5
Clinton, CT 06413-2245
Mailing address
246 E Main St
Ste 5
Clinton, CT 06413-2245
Phone (860) 664-0366
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080003248CT02 | Other | CT | B/C & B/S |
| 2V8213 | Other | CT | HEALTHNET |
| P1270716 | Other | CT | OXFORD HEALTH PLAN |
| 0567426 | Other | CT | AETNA US HEALTHCARE |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3248 | CT | MD | Health Psychologist |
| 003248 | CT | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Post Road Physical Therapy & Sports Medicine Clinic, LLC | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapy Clinic/Center
- Clinton, CT
- NPI 1174704159
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1119312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196726400000",
"number": "1891791323",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "246 E MAIN ST",
"address_2": "STE 5",
"city": "CLINTON",
"state": "CT",
"postal_code": "064132245",
"telephone_number": "860-664-0366",
"fax_number": "860-669-8206"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "246 E MAIN ST",
"address_2": "STE 5",
"city": "CLINTON",
"state": "CT",
"postal_code": "064132245",
"telephone_number": "860-664-0366",
"fax_number": "860-669-8206"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PARE'",
"first_name": "THOMAS",
"name_prefix": "Mr.",
"credential": "P.T.,A.T.,C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-21",
"last_updated": "2007-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "3248",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "B/C & B/S",
"identifier": "080003248CT02",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET",
"identifier": "2V8213",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD HEALTH PLAN",
"identifier": "P1270716",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA US HEALTHCARE",
"identifier": "0567426",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clinton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.