Jeffrey Darren Litishin, MPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007493 Issued in CT

Practice address

50 Hospital Hill Rd
Sharon, CT 06069-2096

Phone

(860) 364-4065

Fax

(860) 364-4466

NPI assigned

Mar 5, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1043349319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 MAIN RD",
            "city": "GREAT BARRINGTON",
            "state": "MA",
            "postal_code": "012301689",
            "telephone_number": "413-528-1343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 HOSPITAL HILL RD",
            "city": "SHARON",
            "state": "CT",
            "postal_code": "060692096",
            "telephone_number": "860-364-4065",
            "fax_number": "860-364-4466"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LITISHIN",
        "first_name": "JEFFREY",
        "middle_name": "DARREN",
        "name_prefix": "Mr.",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007493",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eben Joshua Kimball, M.D.
• Gerard Kruger, M.D.
• David Reynard Kurish, MD
• Catherine Devlin Leidigh, MD
• Emily Benjamin Lindell, PA-C
• James H Lovell, D.D.S., P.C.
• Anne B Macneil, ATC
• Rebecca Wike Malone, APRN
• Maple Emergency Physicians, LLC
• Kimberly Gregg Markel, DPT

• Physical Therapist in Sharon, CT
• Providers in Sharon, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.