Active NPI
Courtney Lyddy, DPT
- Physical Therapist
- Norwalk, CT
National Provider Identifier
1033414420
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 007732
- Practice address
- 40 Cross St
Rehabilitation Services of Norwalk Hospital
Norwalk, CT 06851-4647 - Phone
- (203) 840-3170
- NPI assigned
- Jan 18, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 007732 | CT | Primary |
Addresses
Primary practice location
40 Cross St
Rehabilitation Services of Norwalk Hospital
Norwalk, CT 06851-4647
Mailing address
245 Sunnyridge Ave
#3
Fairfield, CT 06824-4604
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007732 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1295308800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1295308800000",
"number": "1033414420",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "245 SUNNYRIDGE AVE",
"address_2": "#3",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068244604"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "40 CROSS ST",
"address_2": "REHABILITATION SERVICES OF NORWALK HOSPITAL",
"city": "NORWALK",
"state": "CT",
"postal_code": "068514647",
"telephone_number": "203-840-3170"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LYDDY",
"first_name": "COURTNEY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-18",
"last_updated": "2011-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "007732",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Norwalk, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.