Individual provider Active NPI

Marjorie E. Golankiewicz, PT

  • Physical Therapist
  • Monroe, CT
National Provider Identifier
1942449384
Registry record updated Feb 9, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
008445 Issued in CT
Practice address
401 Monroe Tpke
Monroe, CT 06468-2276
Phone
(203) 445-8691
Fax
(203) 445-8692
NPI assigned
Feb 9, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2009

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 008445 CT Primary

Addresses

Primary practice location

401 Monroe Tpke
Monroe, CT 06468-2276

Mailing address

31 Old Route 7
Attn Credentialing Dept
Brookfield, CT 06804-1714
Phone (203) 740-0020

Other identifiers 1

IdentifierTypeStateIssuer
1114979226OtherCTGROUP NPI NUMBER

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

LicenseStateTypeSpecialty
008445CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carteret Comprehensive Medical Care,PC Past Accepting new patients

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": "1234137600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1234137600000",
    "number": "1942449384",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 OLD ROUTE 7",
            "address_2": "ATTN CREDENTIALING DEPT",
            "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": "401 MONROE TPKE",
            "city": "MONROE",
            "state": "CT",
            "postal_code": "064682276",
            "telephone_number": "203-445-8691",
            "fax_number": "203-445-8692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOLANKIEWICZ",
        "first_name": "MARJORIE",
        "middle_name": "E.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-02-09",
        "last_updated": "2009-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "008445",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI NUMBER",
            "identifier": "1114979226",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2009; 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.