Active NPI
Carmelita Viega Rifkin, PT MS CLTLANA
- Physical Therapist
- Prospect, CT
National Provider Identifier
1124123948
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 002286
- Practice address
- 93 Waterbury Rd
Prospect, CT 06712 - Phone
- (203) 758-6569
- Fax
- (203) 758-0443
- NPI assigned
- Sep 14, 2006
- 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 Therapist | 225100000X | 002286 | CT | Primary |
Addresses
Primary practice location
93 Waterbury Rd
Prospect, CT 06712
Mailing address
21 Holley Lane
Prospect, CT 06712
Phone (203) 758-6569
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 080002286CT01 | Other | ANTHEM |
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 002286 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rifkin Physical Therapy & Lymphedema Center, LLC | 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 and National Provider Directory roles.
-
- Occupational Therapist
- Prospect, CT
- NPI 1548501786
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158192000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1124123948",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 HOLLEY LANE",
"city": "PROSPECT",
"state": "CT",
"postal_code": "06712",
"telephone_number": "203-758-6569",
"fax_number": "203-758-0443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 WATERBURY RD",
"city": "PROSPECT",
"state": "CT",
"postal_code": "06712",
"telephone_number": "203-758-6569",
"fax_number": "203-758-0443"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIFKIN",
"first_name": "CARMELITA",
"middle_name": "VIEGA",
"credential": "PT MS CLTLANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-09-14",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "002286",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "080002286CT01",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Prospect, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.