PHYSICAL THERAPY OF MYSTIC, LLC
NPI 1245592617
Physical Therapist in Groton, CT
About Physical Therapy Of Mystic, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHYSICAL THERAPY OF MYSTIC, LLC (NPI 1245592617) is a healthcare organization registered as a physical therapist in Groton, Connecticut and active in the NPI registry since June 2012. The organization lists Ron A Agostini, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Physical Therapy Of Mystic, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
Medicare enrollment records show 1 clinician reassigns Medicare billing to Physical Therapy Of Mystic, LLC, which bills Medicare for the services this clinician delivers.
Clinician (1)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Physical Therapy Of Mystic, LLC's NPI number?
The NPI number for Physical Therapy Of Mystic, LLC is 1245592617. It was assigned to this organization in the NPPES registry on June 12, 2012.
Where is Physical Therapy Of Mystic, LLC located?
Physical Therapy Of Mystic, LLC is located at 481 Gold Star Hwy Suite 201, Groton, CT 06340. The listed phone number is (860) 445-9433.
What is Physical Therapy Of Mystic, LLC's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Physical Therapy Of Mystic, LLC enrolled in Medicare?
Yes. Physical Therapy Of Mystic, LLC is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through Physical Therapy Of Mystic, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Physical Therapist in Private Practice) reassigns their Medicare billing to Physical Therapy Of Mystic, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Physical Therapy Of Mystic, LLC was last updated on June 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.