Michelle Williamson

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

7681 Issued in CT

Practice address

339 Flanders Rd
East Lyme, CT 06333-1700

Phone

(860) 739-6437

NPI assigned

Aug 25, 2020

Last updated

Aug 25, 2020By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Practice roles

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.

• Lawrence and Memorial Hospital, Inc.

  dba Yale New Haven Health Pharmacy - Lawrence and Memorial Hospital

  • Community/Retail Pharmacy
  • New London, CT
  • NPI 1184402331
  NPD (past)
• Ocean Radiology Associates PC

  • Diagnostic Radiology Physician
  • New London, CT
  • NPI 1922166073
  NPD (past)

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

{
    "created_epoch": "1598313600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1598313600000",
    "number": "1073126496",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "379 OLD NEW LONDON RD",
            "city": "SALEM",
            "state": "CT",
            "postal_code": "064203935",
            "telephone_number": "860-859-0164"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "339 FLANDERS RD",
            "city": "EAST LYME",
            "state": "CT",
            "postal_code": "063331700",
            "telephone_number": "860-739-6437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMSON",
        "first_name": "MICHELLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-25",
        "last_updated": "2020-08-25",
        "certification_date": "2020-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "7681",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ethan Saul Weiner, M.D.
• Robert J Welsch, MD
• Whalen Ophthalmology LLC
• Katherine Elizabeth Whalen, MD
• Whitecap Chiropractic LLC
• Kerrie Winfrey
• John Vincent Wozniak, RPH
• Zelmanow Dental LLC (Zelmanow Dental)
• Phillip Stephen Zelmanow, D.M.D.
• Samanth Lee Zelmanow, D.M.D.

• Physical Therapist in East Lyme, CT
• Providers in East Lyme, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2020; 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.