Michael Petit, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11528 Issued in CT

Practice address

410 Saybrook Rd Ste 100
Middletown, CT 06457-4780

Phone

(860) 685-8940

NPI assigned

Aug 2, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• Direct secure messaging: mpetit@middlesexortho.com

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

{
    "created_epoch": "1501632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628035200000",
    "number": "1902320724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 SAYBROOK RD STE 100",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574780",
            "telephone_number": "860-685-8940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 SAYBROOK RD STE 100",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574780",
            "telephone_number": "860-685-8940"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "117 Sharon Rd",
            "address_purpose": "LOCATION",
            "city": "Waterbury",
            "state": "CT",
            "postal_code": "067054000",
            "country_code": "US",
            "telephone_number": "203-756-2334",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "98 main street",
            "address_2": "202",
            "address_purpose": "LOCATION",
            "city": "southington",
            "state": "CT",
            "postal_code": "06489",
            "country_code": "US",
            "telephone_number": "860-620-9954",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETIT",
        "first_name": "MICHAEL",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-02",
        "last_updated": "2021-08-04",
        "certification_date": "2021-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "11528",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Mpetit@middlesexortho.com",
            "affiliation": "N",
            "address_1": "410 Saybrook Rd",
            "city": "Middletown",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064574777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kogagnon@middlesexortho.com",
            "affiliation": "N",
            "address_1": "410 Saybrook Rd",
            "city": "Middletown",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064574777",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kogagnon@middlesexortho.com",
            "affiliation": "N",
            "address_1": "410 Saybrook Rd Ste 100",
            "city": "Middletown",
            "state": "CT",
            "country_code": "US",
            "postal_code": "064574780",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rose Ellen Persico, LCSW
• Carol Ann Peters
• Gregory N. Peterson, MD
• Wendy Levin Peterson, APRN
• Margaret M Petersson, PHD LCSW
• Irina Petrenko, M.D.
• Michele Petrucelli, MD
• Ashley Lynn Pettinato, LPC
• Van T Phan
• Pharmcare USA of Connecticut LLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2021; 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.