Active NPI
Marlene Deborah Mumford, RPT
- Physical Therapist
- Bethel, CT
National Provider Identifier
1912969676
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 001242
- Practice address
- 4 Berkshire Blvd
Bethel, CT 06801-1001 - Phone
- (203) 826-3138
- Fax
- (203) 775-6810
- NPI assigned
- Apr 6, 2006
- 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 | 001242 | CT | Primary |
Addresses
Primary practice location
4 Berkshire Blvd
Bethel, CT 06801-1001
Mailing address
20 Pheasant Lane
New Milford, CT 06776-5234
Phone (860) 355-3200
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001242 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144281600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1912969676",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20 PHEASANT LANE",
"city": "NEW MILFORD",
"state": "CT",
"postal_code": "067765234",
"telephone_number": "860-355-3200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4 BERKSHIRE BLVD",
"city": "BETHEL",
"state": "CT",
"postal_code": "068011001",
"telephone_number": "203-826-3138",
"fax_number": "203-775-6810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MUMFORD",
"first_name": "MARLENE",
"middle_name": "DEBORAH",
"name_prefix": "Mrs.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-04-06",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "001242",
"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 Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.