Individual provider Active NPI

Peter Gerard Savidge, PT

  • Physical Therapist
  • Glastonbury, CT
National Provider Identifier
1992916530
Registry record updated Apr 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007000 Issued in CT
Practice address
701 Hebron Ave
Suite B
Glastonbury, CT 06033-2489
Phone
(860) 430-9780
NPI assigned
May 25, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2008

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 007000 CT Primary

Addresses

Primary practice location

701 Hebron Ave
Suite B
Glastonbury, CT 06033-2489

Mailing address

701 Hebron Ave
Suite B
Glastonbury, CT 06033-2489
Phone (860) 430-9780

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080818000652 CT Practitioner - Physical Therapist in Private Practice 8527133081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
State University of New York Downstate Medical Center, 1997
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

701 Hebron Ave
Suite B
Glastonbury, CT 06033-2489
Phone (860) 430-9780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
007000CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Glastonbury Physical Therapy, LLC Physical Therapist CurrentSince Jun 3, 2008 Accepting new patients

Locations

701 Hebron Ave
Ste B
Glastonbury, CT 06033
Phone (860) 430-9780

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": "1180051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1207267200000",
    "number": "1992916530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 HEBRON AVE",
            "address_2": "SUITE B",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332489",
            "telephone_number": "860-430-9780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "701 HEBRON AVE",
            "address_2": "SUITE B",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060332489",
            "telephone_number": "860-430-9780"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SAVIDGE",
        "first_name": "PETER",
        "middle_name": "GERARD",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-25",
        "last_updated": "2008-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glastonbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2008; 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.