Individual provider Active NPI

Robyn J Tarinelli, PT

  • Physical Therapist
  • Lisbon, CT
National Provider Identifier
1013926013
Registry record updated Mar 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006891 Issued in CT
Practice address
28 Lee Rd
Lisbon, CT 06351-3015
Phone
(860) 376-2564
Fax
(860) 376-4812
NPI assigned
Aug 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 006891 CT Primary

Addresses

Primary practice location

28 Lee Rd
Lisbon, CT 06351-3015

Mailing address

2B Lee Rd
Lisbon, CT 06351-3042
Phone (860) 376-2564

Other identifiers 6

IdentifierTypeStateIssuer
080006891CT02OtherCTANTHEM BCBS
080006891CT05OtherCTANTHEM BCBS
080006891CT06OtherCTANTHEM BCBS
080006891CT03OtherCTANTHEM BCBS
004217429MedicaidCT
080006891CT07OtherCTANTHEM BCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100817000496 CT Practitioner - Physical Therapist in Private Practice 7012041775 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Vermont College of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Eastern Connecticut Rehabilitation CentersGroup PAC ID 2961395173, 12 clinicians

Practice addresses (Care Compare)

2 B Lee Rd
Lisbon, CT 06351-3042
Phone (860) 376-2564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
006891CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Connecticut Rehabili CurrentSince Nov 5, 2001 Accepting new patients
Eastern Connecticut Rehabilitation Centers CurrentSince Nov 5, 2001 Accepting new patients
Killingly Medical Center LLC PastSince Dec 1, 2017 Accepting new patients

Locations

545 Hartford Pike
Dayville, CT 06241
Phone (860) 412-9190

2B Lee Rd
Lisbon, CT 06351
Phone (860) 376-2564

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490140800000",
    "number": "1013926013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2B LEE RD",
            "city": "LISBON",
            "state": "CT",
            "postal_code": "063513042",
            "telephone_number": "860-376-2564",
            "fax_number": "860-376-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "28 LEE RD",
            "city": "LISBON",
            "state": "CT",
            "postal_code": "063513015",
            "telephone_number": "860-376-2564",
            "fax_number": "860-376-4812"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TARINELLI",
        "first_name": "ROBYN",
        "middle_name": "J",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-07",
        "last_updated": "2017-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "006891",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "080006891CT02",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "080006891CT05",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "080006891CT06",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "080006891CT03",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004217429",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "080006891CT07",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lisbon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.