DR. JOSEPH A. MORTATI (NPI# 1831102862) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1831102862 |
Entity Type | Individual |
Full Name | DR. JOSEPH A. MORTATI |
Credential | DPT |
Practice Address |
4154 Madison Ave Trumbull CT 06611-3563 |
Practice Telephone | 2033725718 |
Practice Fax Number | 2033720291 |
Mailing Telephone | 2033725718 |
Mailing Fax Number | 2033720291 |
Enumeration Date | 2006-08-14 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 174400000X | Specialist | 005669 | CT | Other Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CT | CONNECTICARE | 657588 | 01 |
CT | ANTHEM BC/BS | 080005669CT10 | 01 |
CT | UNITED HEALTH CARE | 2022372 | 01 |
CT | EMPIRE (ORTHONET) | S57D01 | 01 |
CT | CIGNA (ORTHONET) | 10401 | 01 |
CT | OXFORD | P1944369 | 01 |
CT | HEALTHNET | 2V8089 | 01 |
CT | AETNA | 7482792 | 01 |
CT | CIGNA | 0941807003 | 01 |
Street Address |
4154 MADISON AVE |
City | TRUMBULL |
State | CT |
Zip Code | 06611-3563 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871986604 | Carly Smith | Physical Therapist | 4154 Madison Ave, Trumbull, CT 06611-3563 | 2015-03-18 |
1558774646 | Zoe Hickson | Naturopath | 4154 Madison Ave, Trumbull, CT 06611-3563 | 2014-06-05 |
1730423468 | Primed, LLC | Podiatrist | 4154 Madison Ave, Trumbull, CT 06611-3563 | 2012-11-19 |
1932404548 | Dental Associate Group LLC | Dentist | 4154 Madison Ave, 2nd Floor, Trumbull, CT 06611-3563 | 2011-01-13 |
1225355621 | Samuelle Easton | Acupuncturist | 4154 Madison Ave, Neccam, Trumbull, CT 06611-3563 | 2010-04-23 |
1992990196 | Foot Specialists of Trumbull LLC | Podiatrist | 4154 Madison Ave, Trumbull, CT 06611-3563 | 2007-09-11 |
1649476730 | Aftercare Physical Therapy Services | Specialist | 4154 Madison Ave, Trumbull, CT 06611-3563 | 2007-06-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1073153326 | Justin Elijah Brantley | Physical Therapist | 888 White Plains Road Suite 209, Trumbull, CT 06611 | 2020-01-14 |
1184135733 | Stephen Graham | Speech-Language Pathologist | 126 Monroe Turnpike Suite #210, Trumbull, CT 06611 | 2017-10-22 |
1891214458 | Rachel Lopes | Social Worker | 132 Monroe Turnpike, 3rd Floor Suite 1, Trumbull, CT 06611 | 2017-09-14 |
1588193981 | James Geisler | Counselor | 23 Wilmot Ave., Trumbull, CT 06611 | 2017-06-08 |
1215463807 | Rodrigo Fernandez | Student in an Organized Health Care Education/Training Program | 226 Mill Hill Avenue., Bridgeport Hospital Womens Health Care Center., Bridgeport, CT 06611 | 2017-05-03 |
1285087650 | Trumbull Pharmacy LLC | Pharmacy | 10 Broadway Road, Bldg B, Unit B, Trumbull, CT 06611 | 2016-07-20 |
1063897601 | Camilla Marie Schnaitmann | Social Worker | 132 Monroe Turnpike, Trumbull, CT 06611 | 2015-07-24 |
1194107318 | Alison R Kudish | Dentist | 160 Hawley Ln Ste 101, Trumbull, CT 06611 | 2015-06-24 |
1639456783 | Sagar Makanji | Pharmacist | 5065 Main Street, Ste Target, Target Pharmacy, Store 2361, Trumbull, CT 06611 | 2011-11-03 |
1639485956 | Beata Everett | Social Worker | 42 Craig Lane, Trumbull, CT 06611 | 2010-08-24 |
Find all providers in zip 06611 |
Taxonomy Code | 174400000X |
Grouping | Other Service Providers |
Classification | Specialist |
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1306140603 | Milan Beres | Specialist | 31 Isinglass Ter, Trumbull, CT 06611-4038 | 2010-12-29 |
1093703522 | Anita J Eisenhauer | Specialist | 888 White Plains Rd, Trumbull, CT 06611-4552 | 2005-10-10 |
1649743204 | George Kenneth Lewis Jr. | Specialist | 56 Quarry Rd, Trumbull, CT 06611-4874 | 2019-01-07 |
1457619660 | Pain & Spine Specialists of Connecticut LLC | Specialist | 5520 Park Ave, 303, Trumbull, CT 06611-3463 | 2012-04-25 |
1699069286 | The Orthopaedic & Sports Medicine Center P.C. | Specialist | 115 Technology Dr, Trumbull, CT 06611-6337 | 2011-06-01 |
1023272598 | Sound Ent, LLC | Specialist | 965 White Plains Rd, 3rd Floor, Trumbull, CT 06611-4566 | 2008-07-15 |
1053506667 | Connecticut Pain Care, P.C. | Specialist | 5520 Park Ave, Suite 303, Trumbull, CT 06611-3463 | 2007-09-07 |
1649476730 | Aftercare Physical Therapy Services | Specialist | 4154 Madison Ave, Trumbull, CT 06611-3563 | 2007-06-25 |
1619199452 | Urological Associates of Bridgeport Prof.corp. | Specialist | 160 Hawley Lane, Trumbull, CT 06611-5300 | 2007-05-02 |
1932234440 | Orthopaedic & Sports Medicine Ctr PC | Specialist | 888 White Plains Rd, Suite 105, Trumbull, CT 06611-4552 | 2007-02-23 |
Find all providers in TRUMBULL |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.