MRS. MARY JANE FEGAN (PT) – Physical Therapist, NPI 1023095106

MRS. MARY JANE FEGAN (PT) is a healthcare provider. based in Guilford, Connecticut. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. 003745 (CT). The NPI Number for MRS. MARY JANE FEGAN (PT) is 1023095106

Main info

Female
39 Years Of Experience
Accepts Medicare Assignment
Name
MRS. MARY JANE FEGAN (PT)
NPI
1023095106
Phone
(203) 458-6268
Address
753 BOSTON POST RD
Enumeration Date
29 December 2005
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2034586268
Graduation Year
1987 (39 years ago)
PAC ID
1759278518
Group Practice PAC ID
9335036185
Professional Enrollment ID
I20111021000498
Address ID
CT064372749GU753XXRDXX401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,335 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CT

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Provider Addresses for MRS. MARY JANE FEGAN (PT)

  • Boston Post Road, Guilford, New Haven County, Connecticut, 06437, United States

    SUITE 101

    GUILFORD, CT 064372749

    Phone: (203) 458-6268

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2011-10-21

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111021000498IPhysical Therapist In Private PracticeCTTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes73768$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes720101$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes60878$0
97530Therapy procedure using functional activities48480$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care7516$0
View full utilization report →

Insurance plans in this area (ZIP 06437)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9335036185View full group profile
NameSpecialtyState
-CT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Qualified Speech Language PathologistCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Physical Therapist In Private PracticeCT
Occupational Therapist In Private PracticeCT

Reviews

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Frequently asked questions

Is MRS. MARY JANE FEGAN (PT) listed with a National Provider Identifier?
Yes — MRS. MARY JANE FEGAN (PT) has NPI 1023095106 on file in the registry.
Is there an active status for MRS. MARY JANE FEGAN (PT)?
For scheduling context, MRS. MARY JANE FEGAN (PT) is shown as active in the registry.
What expertise is attributed to MRS. MARY JANE FEGAN (PT)?
MRS. MARY JANE FEGAN (PT)'s specialty line reads Physical Therapist. Clinical services aligned with this taxonomy classification.
Is MRS. MARY JANE FEGAN (PT) located near Guilford?
MRS. MARY JANE FEGAN (PT) currently maps to Guilford, Connecticut in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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