Individual provider Active NPI

Joshua Hudak

  • Physical Therapist
  • Wallingford, CT
National Provider Identifier
1942034426
Registry record updated Aug 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
14630 Issued in CT
Practice address
85 Barnes Rd Ste 109
Wallingford, CT 06492-1832
Phone
(203) 697-1067
Fax
(203) 284-0492
NPI assigned
Aug 28, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2024

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 14630 CT Primary

Addresses

Primary practice location

85 Barnes Rd Ste 109
Wallingford, CT 06492-1832

Mailing address

116 Danbury Rd Ste 5
New Milford, CT 06776-3442
Phone (860) 799-6320

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241121001653 CT Practitioner - Physical Therapist in Private Practice 0840725305 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carlson Therapy Network PCGroup PAC ID 8527968445, 18 clinicians

Practice addresses (Care Compare)

49 Randolph Rd
Suite 1
Middletown, CT 06457-5606
Phone (203) 238-1334

6 Shaws CV
Suite 101
New London, CT 06320-4969
Phone (860) 447-3009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Carlson Therapy Network, PC Physical Therapist CurrentSince Sep 1, 2024 Accepting new patients
Insight Rehab & Wellness PLLC Physical Therapist PastSince Sep 23, 2021 Accepting new patients

Locations

49 Randolph Rd
Ste 2
Middletown, CT 06457
Phone (860) 790-5429

6 Shaws Cv
Ste 101
New London, CT 06320
Phone (860) 444-9022

116 Danbury Rd
Ste 5
New Milford, CT 06776
Phone (860) 354-7605

116 Danbury Rd
New Milford, CT 06776
Phone (203) 794-6331

85 Barnes Rd
Ste 109
Wallingford, CT 06492
Phone (203) 697-1067

Organizations & group practices 2

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": "1724803200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724803200000",
    "number": "1942034426",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 DANBURY RD STE 5",
            "city": "NEW MILFORD",
            "state": "CT",
            "postal_code": "067763442",
            "telephone_number": "860-799-6320",
            "fax_number": "860-799-6621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 BARNES RD STE 109",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064921832",
            "telephone_number": "203-697-1067",
            "fax_number": "203-284-0492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUDAK",
        "first_name": "JOSHUA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-08-28",
        "last_updated": "2024-08-28",
        "certification_date": "2024-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "14630",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2024; 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.