Individual provider Active NPI

Elizabeth Kirkpatrick, PT, DPT, OCS

  • Physical Therapist
  • Ridgefield, CT
National Provider Identifier
1073874772
Registry record updated Aug 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
9115 Issued in CT
Practice address
63 Copps Hill Rd
Ridgefield, CT 06877-4050
Phone
(203) 438-1898
Fax
(203) 438-1864
NPI assigned
May 30, 2012
Last updated
Aug 1, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 9115 CT Primary

Addresses

Primary practice location

63 Copps Hill Rd
Ridgefield, CT 06877-4050

Mailing address

63 Copps Hill Rd
Ridgefield, CT 06877-4050
Phone (203) 438-1898

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200214000904 CT Practitioner - Physical Therapist in Private Practice 8628404472 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rehab by Rvna LLCGroup PAC ID 2466747019, 25 clinicians
Ridgefield Physical Therapy LLCGroup PAC ID 6002702909, 2 clinicians

Practice addresses (Care Compare)

27 Governor St
Ridgefield, CT 06877-4608
Phone (203) 438-7862

90 Grove St
Ridgefield, CT 06877-4114
Phone (203) 438-1898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
9115CTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ridgefield Physical Therapy LLC Physical Therapist CurrentSince Feb 5, 2020 Accepting new patients
Rehab by Rvna, LLC CurrentSince Oct 3, 2025 Accepting new patients

Locations

27 Governor St
Ridgefield, CT 06877
Phone (203) 438-5555

63 Copps Hill Rd
Ridgefield, CT 06877
Phone (203) 431-4344

90 Grove St
Ridgefield, CT 06877
Phone (203) 246-2632

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1338336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564617600000",
    "number": "1073874772",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 COPPS HILL RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774050",
            "telephone_number": "203-438-1898",
            "fax_number": "203-438-1864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 COPPS HILL RD",
            "city": "RIDGEFIELD",
            "state": "CT",
            "postal_code": "068774050",
            "telephone_number": "203-438-1898",
            "fax_number": "203-438-1864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRKPATRICK",
        "first_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-30",
        "last_updated": "2019-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "9115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ridgefield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.