Active NPI
Kacey Busque
- Physical Therapist
- Manchester, CT
National Provider Identifier
1962800540
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 009528
- Practice address
- 586 Middle Tpke E
Manchester, CT 06040-3730 - Phone
- (860) 645-3810
- NPI assigned
- Dec 12, 2014
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 009528 | CT | Primary |
Addresses
Primary practice location
586 Middle Tpke E
Manchester, CT 06040-3730
Mailing address
435 Hartford Tpke
Suite U
Vernon, CT 06066-4852
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Integrated Rehabilitation Services Limited Partnership | Physical Therapist | 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.
-
- Physical Therapist
- Glastonbury, CT
- NPI 1174493126
-
- Physical Therapist
- Vernon, CT
- NPI 1346969532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1418342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1418342400000",
"number": "1962800540",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 HARTFORD TPKE",
"address_2": "SUITE U",
"city": "VERNON",
"state": "CT",
"postal_code": "060664852"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "586 MIDDLE TPKE E",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060403730",
"telephone_number": "860-645-3810"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSQUE",
"first_name": "KACEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-12",
"last_updated": "2014-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "009528",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.