Individual provider Active NPI

Catherine-Ann Golankiewicz Manzella

  • Physical Therapist
  • Bethel, CT
National Provider Identifier
1932219680
Registry record updated Apr 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6081 Issued in CT
Practice address
268 Greenwood Ave Ste 202
Bethel, CT 06801-2436
Phone
(203) 917-4792
Fax
(203) 917-4798
NPI assigned
Aug 30, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6081 CT Primary

Addresses

Primary practice location

268 Greenwood Ave Ste 202
Bethel, CT 06801-2436

Mailing address

268 Greenwood Ave Ste 202
Bethel, CT 06801-2436
Phone (203) 917-4792

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091222000533 CT Practitioner - Physical Therapist in Private Practice 1850282393 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Calept, LLCGroup PAC ID 5092989780, 3 clinicians

Practice addresses (Care Compare)

268 Greenwood Ave
Suite 202
Bethel, CT 06801-2436
Phone (203) 917-4792

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6081CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Calept, LLC Physical Therapist CurrentSince Mar 28, 2011 Accepting new patients

Locations

268 Greenwood Ave
Ste 202
Bethel, CT 06801
Phone (203) 313-4021

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1588118400000",
    "number": "1932219680",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 GREENWOOD AVE STE 202",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068012436",
            "telephone_number": "203-917-4792",
            "fax_number": "203-917-4798"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 GREENWOOD AVE STE 202",
            "city": "BETHEL",
            "state": "CT",
            "postal_code": "068012436",
            "telephone_number": "203-917-4792",
            "fax_number": "203-917-4798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANZELLA",
        "first_name": "CATHERINE-ANN",
        "middle_name": "GOLANKIEWICZ",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-30",
        "last_updated": "2020-04-29",
        "certification_date": "2020-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "6081",
            "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 Apr 29, 2020; 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.