Individual provider Active NPI

Erika Rodormer, PT, DPT

  • Physical Therapist
  • New Canaan, CT
National Provider Identifier
1104341056
Registry record updated Jan 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
010535 Issued in CT
Practice address
45 Grove St Ste H
New Canaan, CT 06840-5330
Phone
(973) 908-5692
NPI assigned
Aug 11, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 8, 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 010535 CT Primary

Addresses

Primary practice location

45 Grove St Ste H
New Canaan, CT 06840-5330

Mailing address

518 Hoyt St
Darien, CT 06820-2014
Phone (973) 908-5692

Other practice location 1

30 Buxton Farm Rd
Suite 230
Stamford, CT 06905
Phone (203) 212-4191

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
010535CTMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1502409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546905600000",
    "number": "1104341056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "518 HOYT ST",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068202014",
            "telephone_number": "973-908-5692",
            "fax_number": "203-869-7654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 GROVE ST STE H",
            "city": "NEW CANAAN",
            "state": "CT",
            "postal_code": "068405330",
            "telephone_number": "973-908-5692"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "30 Buxton Farm Rd",
            "address_2": "Suite 230",
            "address_purpose": "LOCATION",
            "city": "Stamford",
            "state": "CT",
            "postal_code": "06905",
            "country_code": "US",
            "telephone_number": "203-212-4191",
            "fax_number": "203-212-4191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RODORMER",
        "first_name": "ERIKA",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-08-11",
        "last_updated": "2019-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "010535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Canaan, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 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.