Marcia A Donofrio, PT
Individual provider Active NPI Physical Therapist · Mansfield Center, CT
NPI 1962691196 · NPPES record last updated Aug 15, 2013
Key facts
- NPI
- 1962691196
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 001450 (CT)
- Practice address
- 175 Stafford Rd
Mansfield Center, CT 06250-1441 - Phone
- (860) 456-8869
- Fax
- (860) 450-1936
- NPI assigned
- Oct 24, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1450 | CT | MD | Addiction (Substance Use Disorder) Counselor |
| 001450 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Loving Hands Chiropractic LLC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 001450 | CT | Yes |
Addresses
Primary practice location
175 Stafford Rd
Mansfield Center, CT 06250-1441
Mailing address
175 Stafford Rd
Mansfield Center, CT 06250-1441
Phone (860) 456-8869
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0116301 | Other | ORTHONET-HEALTHNET | |
| 056002 | Other | CT | HEALTH NET |
| ANC895 | Other | CT | OXFORD |
| 080001450CT02 | Other | CT | BLUE CROSS BLUE SHIELD |
Other providers in Mansfield Center, CT
- Francis Anthony Degennaro III
- Irene J. Demers
- Kristin Amanda Dilaj
- Kristine Leslie Dimartino
- Lisa Donahue
- Lynn Karen Dove
- David Duffield
- Stanley Paul Dugan
- Karen V Duhamel
- Katherine Ann Dunn
All providers in Mansfield Center, CT · Physical Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.