Active NPI
Joshua Hudak
- Physical Therapist
- Wallingford, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 14630
- 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
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 | 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carlson Therapy Network, PC | Physical Therapist | Current | Accepting new patients |
| Insight Rehab & Wellness PLLC | Physical Therapist | Past | 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.
-
- Physical Therapist
- New Milford, CT
- NPI 1114979226
-
- Physical Therapy Clinic/Center
- Bethel, CT
- NPI 1619646650
Physical Therapist
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.