Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Halid Dervisevic, DPT

Individual provider Physical Therapist · NPI 1104658814

Dr. Halid Dervisevic, DPT is a Physical Therapist in Private Practice in Hartford, Connecticut. Qualified in 2013, 13 years ago. Practices with Greater Hartford Physical Therapy, a 4-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
13
Licensed in
CT
In the registry since
2024
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

36 Woodland St
Hartford, CT 06105-2325
Phone: (860) 522-2717
Fax: (860) 240-7605
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 14613 (CT)

Record details

NPI number1104658814
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedAugust 20, 2024
Last updated in NPPESAugust 20, 2024
Certification dateAugust 20, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Greater Hartford Physical Therapy — 4 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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