Active NPI
Karin Williams Labanca, PT, DPT
- Physical Therapist
- Newtown, CT
National Provider Identifier
1023004926
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 006688
- Practice address
- 141 Mount Pleasant Rd
Newtown, CT 06470-1438 - Phone
- (203) 270-2977
- Fax
- (203) 841-1245
- NPI assigned
- Sep 26, 2005
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 014584-1 | NY | |
| Physical Therapist | 225100000X | 006688 | CT | Primary |
Addresses
Primary practice location
141 Mount Pleasant Rd
Newtown, CT 06470-1438
Mailing address
33 Paugussett Rd
Suite B
Sandy Hook, CT 06482-1503
Phone (203) 947-2849
Other practice location 1
172 Mount Pleasant Rd
Newtown, CT 06470-1443
Phone (203) 270-2977
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0402615 | Other | CT | CIGNA |
| 0402615 | Other | CT | AETNA |
| 776575 | Other | CT | OPTUM- UNITED HEALTH CARE |
| 080006688CT05 | Other | CT | ANTHEM |
Other names 1
- Miss Karin Michelle Williams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006688 | CT | MD | Physical Therapist |
| 014584-1 | NY | MD | Physician Assistant |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Newtown, CT
- NPI 1194028779
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127692800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1023004926",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "33 PAUGUSSETT RD",
"address_2": "SUITE B",
"city": "SANDY HOOK",
"state": "CT",
"postal_code": "064821503",
"telephone_number": "203-947-2849"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "141 MOUNT PLEASANT RD",
"city": "NEWTOWN",
"state": "CT",
"postal_code": "064701438",
"telephone_number": "203-270-2977",
"fax_number": "203-841-1245"
}
],
"practiceLocations": [
{
"address_1": "172 MOUNT PLEASANT RD",
"address_purpose": "LOCATION",
"city": "NEWTOWN",
"state": "CT",
"postal_code": "064701443",
"country_code": "US",
"telephone_number": "203-270-2977",
"fax_number": "203-998-0453",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "LABANCA",
"first_name": "KARIN",
"middle_name": "WILLIAMS",
"name_prefix": "Mrs.",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-09-26",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NY",
"license": "014584-1",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "006688",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "0402615",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "0402615",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OPTUM- UNITED HEALTH CARE",
"identifier": "776575",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "080006688CT05",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KARIN",
"last_name": "WILLIAMS",
"middle_name": "MICHELLE",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Newtown, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.