QUINNIPIAC PHYSICAL THERAPY & SPORTS MEDICINE PC – Physical Therapist, NPI 1801896485

QUINNIPIAC PHYSICAL THERAPY & SPORTS MEDICINE PC is a healthcare provider. based in North haven, Connecticut. specializing in Physical Therapist. The NPI Number for QUINNIPIAC PHYSICAL THERAPY & SPORTS MEDICINE PC is 1801896485

Main info

Organization
Name
QUINNIPIAC PHYSICAL THERAPY & SPORTS MEDICINE PC
NPI
1801896485
Phone
(203) 239-4274
Address
202 STATE ST
Authorized Official
MR. DAVID MIKOS PRESIDENT D.C., P.T., M.C.T.A.
Enumeration Date
26 July 2005
Last Update Date
13 January 2016
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:20State licenses:0Digital endpointsOther names

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Provider Addresses for QUINNIPIAC PHYSICAL THERAPY & SPORTS MEDICINE PC

  • 202, State Street, Downtown, New Haven, New Haven County, Connecticut, 06510, United States

    NORTH HAVEN, CT 064732207

    Phone: (203) 239-4274

    Fax: (203) 239-4290

    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: 2004-04-20

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Past revalidation due date

Earliest CMS due date was 2023-10-31 (954 days ago).

Enrollment records

1

Earliest due date

2023-10-31

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
O20040420000101OPhysical/Occupational Therapy Group In Private PracticeCT2023-10-31

What to do next

  • Verify current status on the CMS Revalidation Lookup Tool immediately.
  • Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
  • Overdue revalidation can lead to deactivation of Medicare billing privileges.

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 06473)

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Reviews

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Frequently asked questions

What is the registry number for QUINNIPIAC PHYSICAL THERAPY & SPORTS MEDICINE PC?
The registry entry for QUINNIPIAC PHYSICAL THERAPY & SPORTS MEDICINE PC shows NPI 1801896485.
Is QUINNIPIAC PHYSICAL THERAPY & SPORTS MEDICINE PC's NPI status active today?
Active status means QUINNIPIAC PHYSICAL THERAPY & SPORTS MEDICINE PC's NPI record is not deactivated in the public file.
What services align with QUINNIPIAC PHYSICAL THERAPY & SPORTS MEDICINE PC's listing?
QUINNIPIAC PHYSICAL THERAPY & SPORTS MEDICINE PC's public classification highlights Physical Therapist. Clinical services aligned with this taxonomy classification.
Is QUINNIPIAC PHYSICAL THERAPY & SPORTS MEDICINE PC tied to North Haven, Connecticut?
If you are local to North Haven, Connecticut, QUINNIPIAC PHYSICAL THERAPY & SPORTS MEDICINE PC may be relevant to your search.
Who maintains QUINNIPIAC PHYSICAL THERAPY & SPORTS MEDICINE PC's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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