Andrew Michael Shurretto, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1939 Issued in CT

Practice address

900 Main St
Oakville, CT 06779-1999

Phone

(860) 945-1301

Fax

(860) 945-1302

NPI assigned

Aug 20, 2018

Sex

Male

Sole proprietor

No

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 20, 2018.

{
    "created_epoch": "1534723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1982184842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 MAIN ST",
            "city": "OAKVILLE",
            "state": "CT",
            "postal_code": "067791999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MAIN ST",
            "city": "OAKVILLE",
            "state": "CT",
            "postal_code": "067791999",
            "telephone_number": "860-945-1301",
            "fax_number": "860-945-1302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHURRETTO",
        "first_name": "ANDREW",
        "middle_name": "MICHAEL",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-08-20",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CT",
            "license": "1939",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rosa Maria Ramirez
• Tina Marie Rhodes, MSOTR/L
• Catherine Risigo-Wickline, OT
• Jonathan H Russell, LPCA
• Kerry Catherine Rutland, MPA
• Robin Skowronski, OT
• Sara J Skudzienski, LICENSED MASSAGE THE
• Meaghan Jeannette Spagnolo
• Sandra J Sullivan, DT
• Maristane A Tedesco, CNA

• All providers in Oakville, CT
• Physical Therapy Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; 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.