Active NPI
Christine Ludwiczak
- Physical Therapy Assistant
- Fairfield, CT
National Provider Identifier
1073457917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 001645
- Practice address
- 2373 Black Rock Tpke
Fairfield, CT 06825-3229 - Phone
- (203) 659-4898
- NPI assigned
- Apr 20, 2026
- Last updated
- Apr 20, 2026
- 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 Therapy Assistant | 225200000X | 001645 | CT | Primary |
Addresses
Primary practice location
2373 Black Rock Tpke
Fairfield, CT 06825-3229
Mailing address
165 Partridge LN
Fairfield, CT 06824-2971
Phone (203) 858-9177
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 |
|---|---|---|---|
| 001645 | CT | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Anb-Ptsma Holdings, Inc. | Past | Accepting new patients |
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.
-
dba Physical Therapy & Sports Medicine Centers
- Physical Therapist
- West Hartford, CT
- NPI 1659453371
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1776643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776643200000",
"number": "1073457917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "165 PARTRIDGE LN",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068242971",
"telephone_number": "203-858-9177"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2373 BLACK ROCK TPKE",
"city": "FAIRFIELD",
"state": "CT",
"postal_code": "068253229",
"telephone_number": "203-659-4898"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUDWICZAK",
"first_name": "CHRISTINE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-04-20",
"last_updated": "2026-04-20",
"certification_date": "2026-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CT",
"license": "001645",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfield, CT
- Loving Heroes LLC
- LPM Nutrition & Wellness LLC
- Jillian Lubrano, OTR
- Jean-Paul C. Lucke, D.O.
- Ludlowe Center for Health and Rehabilitation, LLC (Ludlowe Center for Health and Rehabilitation)
- Lisa Ludwiczak
- Lawrence Donald Ludwig, PH.D
- Linda Michlin Ludwig, PH.D
- Lupes Drug Store Inc (Lupes Drug Store of Fairfield)
- Jacob Michael Lurie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.