Individual provider Active NPI

Linda Sharon Tobinhunter, PTA

  • Physical Therapy Assistant
  • Bridgeport, CT
National Provider Identifier
1073158473
Registry record updated Nov 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
02458-1 Issued in NY
Practice address
2199 Park Ave
Bridgeport, CT 06604-1916
Phone
(646) 271-9974
NPI assigned
Nov 10, 2019
Last updated
Nov 10, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 225200000X 02458-1 NY Primary

Addresses

Primary practice location

2199 Park Ave
Bridgeport, CT 06604-1916

Mailing address

2199 Park Ave
Bridgeport, CT 06604-1916
Phone (646) 271-9974

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

LicenseStateTypeSpecialty
02458-1NYMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1573344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1573344000000",
    "number": "1073158473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2199 PARK AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066041916",
            "telephone_number": "646-271-9974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2199 PARK AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066041916",
            "telephone_number": "646-271-9974"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TOBINHUNTER",
        "first_name": "LINDA",
        "middle_name": "SHARON",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-11-10",
        "last_updated": "2019-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "02458-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bridgeport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2019; 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.