Derek Bird, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11680 Issued in CT

Practice address

230 George St
New Haven, CT 06510-3224

Phone

(203) 498-5980

Fax

(203) 498-5999

NPI assigned

Nov 15, 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1510704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1932612751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 GEORGE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103224",
            "telephone_number": "203-498-5980",
            "fax_number": "203-498-5999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 GEORGE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103224",
            "telephone_number": "203-498-5980",
            "fax_number": "203-498-5999"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "680 S Main St Ste 102",
            "address_purpose": "LOCATION",
            "city": "Cheshire",
            "state": "CT",
            "postal_code": "064103190",
            "country_code": "US",
            "telephone_number": "203-272-3120",
            "fax_number": "203-272-3120",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BIRD",
        "first_name": "DEREK",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "11680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Lisa Bioty, LCSW
• Giselle Birch, MBBS
• Sundari Elliott Birdsall, LMSW
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• Alina M Bischin, MD
• Evan Led Bishop, PHARMD

• Physical Therapist in New Haven, CT
• Providers in New Haven, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.