Independence Physical Therapy, Llc - Medicare Physical Therapist in Mystic, CT

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Independence Physical Therapy, Llc is a medicare enrolled "Physical Therapist" provider in Mystic, Connecticut. Their current practice location is 2440 Gold Star Hwy, Suite 201, Mystic, Connecticut. You can reach out to their office (for appointments etc.) via phone at (860) 536-1001.

Independence Physical Therapy, Llc is licensed to practice in * (Not Available) (license number ) and it also participates in the medicare program. Independence Physical Therapy, Llc is enrolled with medicare and should accept medicare assignments and since they are enrolled in medicare, they may order Medicare Part D Prescription drugs, if eligible. The facility's NPI Number is 1578596888.

Contact Information

Independence Physical Therapy, Llc
2440 Gold Star Hwy, Suite 201,
Mystic, CT 06355-1180
(860) 536-1001
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameIndependence Physical Therapy, Llc
TypeFacility
SpecialityPhysical Therapist
Location2440 Gold Star Hwy, Mystic, Connecticut
Accepts Medicare AssignmentsMedicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1578596888
  • Provider Enumeration Date: 07/09/2006
  • Last Update Date: 12/12/2007
  Medicare PECOS Information:
  • PECOS PAC ID: 6608808274
  • Enrollment ID: O20050902000487

Medical Identifiers

Medical identifiers for Independence Physical Therapy, Llc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1578596888NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist (* (Not Available))Primary
225X00000XOccupational Therapist (* (Not Available))Secondary
235Z00000XSpeech-language Pathologist (* (Not Available))Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Independence Physical Therapy, Llc acts as a billing entity for following providers:
Provider NameJeanne M Gilbert
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1518955871
PECOS PAC ID: 4587696158
Enrollment ID: I20050902000531
Provider NameAnn Marie Kupis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1144412966
PECOS PAC ID: 0749367092
Enrollment ID: I20080410000359
Provider NameHeather E Geyer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1760688931
PECOS PAC ID: 2769665850
Enrollment ID: I20110328000377
Provider NameTracy A Hooper
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1750685541
PECOS PAC ID: 4284817214
Enrollment ID: I20110329000111
Provider NameCynthia A Holliday
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699026252
PECOS PAC ID: 4385896307
Enrollment ID: I20121220000075
Provider NameRobert Gilbert
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1548439037
PECOS PAC ID: 3870747942
Enrollment ID: I20130128000067
Provider NameShannon E Gray
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992011282
PECOS PAC ID: 4284815309
Enrollment ID: I20130218000374
Provider NameKatieanne P Christian
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194064147
PECOS PAC ID: 4587806880
Enrollment ID: I20130816000160
Provider NameAshley E Gaedt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1700210499
PECOS PAC ID: 6002042629
Enrollment ID: I20131203001692
Provider NameChristine M Bauch
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1346441771
PECOS PAC ID: 0042229304
Enrollment ID: I20150114000528
Provider NameJill Lombardo
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1023326105
PECOS PAC ID: 4486958378
Enrollment ID: I20160215000226
Provider NameKevin P Raksnis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1194173526
PECOS PAC ID: 3971882622
Enrollment ID: I20161121000566
Provider NameMelissa L Paul
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1699226613
PECOS PAC ID: 4587943097
Enrollment ID: I20161125000040
Provider NameStephen Strong
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1801310909
PECOS PAC ID: 9032481593
Enrollment ID: I20170817001900
Provider NameEmily G Beyene
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1326539495
PECOS PAC ID: 0547525990
Enrollment ID: I20180605003457
Provider NameAnne E Gavitt
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1992296065
PECOS PAC ID: 6204181274
Enrollment ID: I20180614001975
Provider NameLaura J Mentzer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1427691161
PECOS PAC ID: 8820420573
Enrollment ID: I20191118002089
Provider NameBryan Raksnis
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1073114062
PECOS PAC ID: 7517372493
Enrollment ID: I20210227000080
Provider NameChristina A Fratto
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1225630981
PECOS PAC ID: 8628484565
Enrollment ID: I20210301002518
Provider NameMichael Lopes
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1962007724
PECOS PAC ID: 8527474063
Enrollment ID: I20210309001155
Provider NameKatarina Frazier
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1295345288
PECOS PAC ID: 1557752649
Enrollment ID: I20211228001299
Provider NameAnna Belle Curry
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1942976543
PECOS PAC ID: 2961893052
Enrollment ID: I20211228001542
Provider NameMichael Robert Stringer
Provider TypePractitioner - Physical Therapist In Private Practice
Provider IdentifiersNPI Number: 1376211763
PECOS PAC ID: 8921499823
Enrollment ID: I20220104001683

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Independence Physical Therapy, Llc is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Independence Physical Therapy, Llc
2440 Gold Star Hwy, Suite 201,
Mystic, CT 06355-1180

Ph: (860) 536-1001		Independence Physical Therapy, Llc
2440 Gold Star Hwy, Suite 201,
Mystic, CT 06355-1180

Ph: (860) 536-1001

Reviews and Comments


Physical Therapist in Mystic, CT

Mr. Edmond Francis Cardinal Jr., MSPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 11 Main St, Mystic, CT 06355
Phone: 860-334-4229    
Jenalyn D Vergara, PT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 186 Jerry Browne Rd, Mystic, CT 06355
Phone: 860-572-5675    
Spectrum Physical Therapy Limited Partnership
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 80 Stonington Rd, Suite A-3, Mystic, CT 06355
Phone: 860-536-1699    Fax: 860-536-1686
Ann Marie Kupis, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 2440 Gold Star Hwy, Suite 201, Mystic, CT 06355
Phone: 860-536-1001    Fax: 860-536-1527
Grace La Porte, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2440 Gold Star Hwy Unit 201, Mystic, CT 06355
Phone: 860-536-1001    
Katieanne P Christian, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 2440 Gold Star Hwy, Suite 201, Mystic, CT 06355
Phone: 860-536-1001    Fax: 860-536-1005
Kevin P Raksnis, DPT
Physical Therapist
Medicare: Accepting Medicare Assignments
Practice Location: 2440 Gold Star Hwy, Suite 201, Mystic, CT 06355
Phone: 860-536-1001    Fax: 860-536-1005

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.