DIVERSIFIED PHYSICAL THERAPY, LLC
NPI 1801018882
Clinic/Center - Physical Therapy in Meriden, CT
About Diversified Physical Therapy, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DIVERSIFIED PHYSICAL THERAPY, LLC (NPI 1801018882) is a healthcare organization registered as a physical therapy in Meriden, Connecticut and active in the NPI registry since May 2007. The organization lists Michelle Thibeault, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Diversified Physical Therapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Diversified Physical Therapy, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Diversified Physical Therapy, LLC's NPI number?
The NPI number for Diversified Physical Therapy, LLC is 1801018882. It was assigned to this organization in the NPPES registry on May 2, 2007.
Where is Diversified Physical Therapy, LLC located?
Diversified Physical Therapy, LLC is located at 1260 E Main St, Meriden, CT 06450. The listed phone number is (203) 630-3939.
What is Diversified Physical Therapy, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Physical Therapy, with taxonomy code 261QP2000X.
Is Diversified Physical Therapy, LLC enrolled in Medicare?
Yes. Diversified Physical Therapy, LLC is registered in the Medicare PECOS enrollment system.
When is Diversified Physical Therapy, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Connecticut, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Diversified Physical Therapy, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians, all in Physical Therapist in Private Practice, reassign their Medicare billing to Diversified Physical Therapy, 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. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
What insurance does Diversified Physical Therapy, LLC accept?
Health plans from Anthem Blue Cross and Blue Shield list Diversified Physical Therapy, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Diversified Physical Therapy, LLC was last updated on August 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.
# Diversified Physical Therapy, Llc · NPI 1801018882
Physical Therapy organization in Meriden, Connecticut. Organization record, active in the CMS NPPES registry since May 2, 2007.
## Identity
- **NPI:** 1801018882 (Entity type: Organization)
- **Enumerated:** May 2, 2007
- **Primary specialty:** Clinic/Center - Physical Therapy · taxonomy 261QP2000X
- **Organization subpart:** No
- **Authorized official:** Michelle Thibeault, OWNER
## Practice location
- **Address:** 1260 E MAIN ST, Meriden, CT 06450-4806
- **Phone:** (203) 630-3939
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Connecticut, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 2 clinicians (Physical Therapist in Private Practice) reassign Medicare billing to this organization (form CMS-855R); 1 practice at this address and 2 within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** August 6, 2007
- **Other identifiers:** Medicare ID-Type Unspecified 650000285 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1801018882) · Data from the CMS NPPES public registry.