Bruce Alan Langevin

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

005532 Issued in CT

Practice address

921 Boston Turnpike
Bolton, CT 06043

Phone

(860) 646-8758

Fax

(860) 646-0256

NPI assigned

Oct 24, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1991

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bolton Physical Therapy and Sports Performance LLCGroup PAC ID 4688839855, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Bolton Physical Therapy & Sports Performance LLC

  • Physical Therapy Clinic/Center
  • Bolton, CT
  • NPI 1265650188
  Medicare reassignment Care Compare group NPD Authorized official
• Valley Physical Therapy & Sports Medicine Services, P.C.

  • Physical Therapist
  • Marlborough, CT
  • NPI 1841381969
  NPD (past)
• Valley Physical Therapy, LLC

  • Specialist
  • Marlborough, CT
  • NPI 1841525904
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1992888531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9518",
            "city": "BOLTON",
            "state": "CT",
            "postal_code": "060439518",
            "telephone_number": "860-646-8758",
            "fax_number": "860-646-0256"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 BOSTON TURNPIKE",
            "city": "BOLTON",
            "state": "CT",
            "postal_code": "06043",
            "telephone_number": "860-646-8758",
            "fax_number": "860-646-0256"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANGEVIN",
        "first_name": "BRUCE",
        "middle_name": "ALAN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CT",
            "license": "005532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "080005532CT08",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHONET",
            "identifier": "44901",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Food Is Fuel, LLC
• Ginger M Pollack DMD PC
• Halo Transportation LLC
• Marisa Houser, ND, LAC
• Irene-Lee Ann Klein, NP
• Randy H Lichtman, D.D.S.
• Piper P Lillard, D.O.
• John Michael Matkowski, RPH
• Edward Charles McGuire, D.C.
• Tracey Meyers, PSY.D.

• Orthopedic Physical Therapist in Bolton, CT
• Providers in Bolton, CT by specialty
• Orthopedic Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.