Active NPI
Nicole Mercaldo Dority, DPT
- Physical Therapist
- New Milford, CT
National Provider Identifier
1942384151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 008351
- Practice address
- 130B Grove St
New Milford, CT 06776-3668 - Phone
- (860) 354-7605
- Fax
- (860) 355-0089
- NPI assigned
- Oct 24, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8380 | CO | |
| Physical Therapist | 225100000X | 008351 | CT | Primary |
Addresses
Primary practice location
130B Grove St
New Milford, CT 06776-3668
Mailing address
31 Old Route 7
Brookfield, CT 06804-1714
Phone (203) 740-0020
Other names 1
- Nicole Rae Mercaldo
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8380 | CO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy for Women, PC | Physical Therapist | Past | Accepting new patients |
| Paddy Jarit LLC | Past | Accepting new patients |
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.
-
- Orthopedic Physical Therapist
- Trumbull, CT
- NPI 1619609427
-
- Physical Therapist
- Trumbull, CT
- NPI 1033237078
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161648000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1220572800000",
"number": "1942384151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "31 OLD ROUTE 7",
"city": "BROOKFIELD",
"state": "CT",
"postal_code": "068041714",
"telephone_number": "203-740-0020",
"fax_number": "203-775-0238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130B GROVE ST",
"city": "NEW MILFORD",
"state": "CT",
"postal_code": "067763668",
"telephone_number": "860-354-7605",
"fax_number": "860-355-0089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DORITY",
"first_name": "NICOLE",
"middle_name": "MERCALDO",
"name_prefix": "Mrs.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-24",
"last_updated": "2008-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "8380",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "008351",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "NICOLE",
"last_name": "MERCALDO",
"middle_name": "RAE",
"credential": "MSPT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in New Milford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.