Elizabeth Poulton

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT02644 Issued in RI

Practice address

333 Green End Ave
Middletown, RI 02842-5620

Phone

(401) 851-8534

NPI assigned

Apr 16, 2015

Last updated

Jun 30, 2022By 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

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fox Rehab PT CT, LLCGroup PAC ID 8820235575, 76 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Fox Rehab PT CT, LLC

  • Physical Therapist
  • Wilton, CT
  • NPI 1245584234
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1073900189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 GREEN END AVE",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425620"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 GREEN END AVE",
            "city": "MIDDLETOWN",
            "state": "RI",
            "postal_code": "028425620",
            "telephone_number": "401-851-8534"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POULTON",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "RI",
            "license": "PT02644",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Katrina Pimentel, OTR/L
• Kristin Anne Pimentel, RPH
• Suzanne Pollock
• Marjorie Charlene Pomelek, RN
• Joanna K Pomykala
• Preferred Therapy Outpatient Services of Ri, LLC
• Rebecca Priebe, FNP
• Ming Lee Prospero
• Providence Vamc
• Craig Anthony Pruitt, DC

• Physical Therapist in Middletown, RI
• Providers in Middletown, RI by specialty
• Physical Therapist in Rhode Island

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.