Organization Active NPI

Ronald E. Ponchak, PT, PC

  • Physical Therapy Clinic/Center
  • Wilton, CT
National Provider Identifier
1891965257
Registry record updated Mar 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
5065 Issued in CT
Legal business name
RONALD E. PONCHAK, PT, PC
Practice address
1 Danbury Road
Wilton, CT 06897
Phone
(203) 722-6266
NPI assigned
Mar 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 9, 2009

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

Authorized official

Name
Mr. Ronald Edward Ponchak, PTNPI 1750363545
Title
Director / President
Phone
(203) 722-6266

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 5065 CT Primary

Addresses

Primary practice location

1 Danbury Road
Wilton, CT 06897

Mailing address

79 Llewellyn Drive
New Canaan, CT 06840
Phone (203) 722-6266

Other names 1

  • Ponchak Physical Therapy Associates Doing business as

National Provider Directory

National Provider Directory

Locations

1 Danbury Rd
Wilton, CT 06897
Phone (203) 464-2577

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1204329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236556800000",
    "number": "1891965257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79 LLEWELLYN DRIVE",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "06840",
            "telephone_number": "203-722-6266",
            "fax_number": "203-972-3664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 DANBURY ROAD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "06897",
            "telephone_number": "203-722-6266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RONALD E. PONCHAK, PT, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-01",
        "last_updated": "2009-03-09",
        "status": "A",
        "authorized_official_last_name": "PONCHAK",
        "authorized_official_first_name": "RONALD",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "DIRECTOR / PRESIDENT",
        "authorized_official_telephone_number": "203-722-6266",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CT",
            "license": "5065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ponchak Physical Therapy Associates",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wilton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.