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Enrollment ID O20111122000459 resolves to a single NPI record. Open the full profile for complete detail.

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VS
NPI · 1548441090 · Active
Village Street Physical Therapy And Sports Medicine P.C.
Physical Therapist · North Haven, Connecticut
Active
NPI
1548441090
Enrollment ID
O20111122000459
Taxonomy
225100000X
Type
Part B Supplier - Physical/Occupational Therapy Group In Private Practice

Medicare enrollment

This provider holds a Medicare enrollment on file with the Provider Enrollment, Chain and Ownership System (PECOS). Each enrollment carries a public Medicare Enrollment ID (ENRLMT_ID) used by billers and intermediaries.

Part B Supplier

Source: CMS PECOS public enrollment file.

Secondary identifiers

Additional identifiers this provider has registered with NPPES. Used by medical billers, credentialers, and insurance verifiers to cross-reference claims and enrollments.

Other

  • OV1735CT· Issued by HEALTHNET
  • 7614976004CT· Issued by CIGNA
  • 183259CT· Issued by WELLCARE
  • 080002017CT01CT· Issued by BCBS
  • 897715CT· Issued by AETNA
  • A531345CT· Issued by OXFORD

Source: NPPES public registry.

ReferenceAbout Medicare Enrollment IDs

A Medicare Enrollment ID (ENRLMT_ID) is a 15-character public identifier assigned by the CMS Provider Enrollment, Chain and Ownership System (PECOS) when a provider, supplier, or organisation enrols in Medicare. Each row reflects one enrolment record: a single NPI can hold multiple enrolments across provider types, states, or supplier categories. Data here is mirrored from the quarterly public PECOS enrolment file published on data.cms.gov.