Eleni Christina Kaufman

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

001502 Issued in CT

Practice address

226 Mill Hill Ave
Bridgeport, CT 06610-2826

Phone

(203) 336-7301

NPI assigned

Aug 11, 2015

Last updated

Aug 11, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Eleni Christina Soures Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439251200000",
    "number": "1093191207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "366 HIGHLAND AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068543413",
            "telephone_number": "203-810-8668"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "226 MILL HILL AVE",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066102826",
            "telephone_number": "203-336-7301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAUFMAN",
        "first_name": "ELENI",
        "middle_name": "CHRISTINA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CT",
            "license": "001502",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELENI",
            "last_name": "SOURES",
            "middle_name": "CHRISTINA",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Aditi Katwala
• Cortney Katz
• Eric J. Katz, M.D.
• Jonathan Katz, MD
• David A Kaufman, MD
• Monika Kaul, MD
• Jasmeet Kaur, D.D.S.
• Simran Kaur, M.S., CCC-SLP
• Jessica Kaushal, M.D.
• Sagar Nikhil Kaushik, MPH, AP, BSBME

• Physical Therapy Assistant in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Physical Therapy Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.