Carrie Elizabeth Poole, P.T.
Individual provider Active NPI Physical Therapist · Weatogue, CT
NPI 1124331525 · NPPES record last updated Sep 17, 2024
Key facts
- NPI
- 1124331525
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 8729 (CT)
- Practice address
- 225 Hopmeadow St
Weatogue, CT 06089-9782 - Phone
- (860) 651-0277
- NPI assigned
- Jul 14, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8729 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sports and Orthopedic Rehabilitation Services Inc | Past | Accepting new patients | |
| Magna Physical Therapy & Golf Medicine Center, LLC | Past |
Accepting new patients | |
| Ptsma Inc | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8729 | CT | Yes |
Addresses
Primary practice location
225 Hopmeadow St
Weatogue, CT 06089-9782
Mailing address
79 Cooper Ave
Weatogue, CT 06089-7947
Phone (860) 718-1727
Other practice location 1
31 Ensign Dr Ste B
Avon, CT 06001-3773
Phone (860) 404-2461
Other providers in Weatogue, CT
- Elizabeth A Parcella
- Kaileigh Perez
- Elizabeth T Pericat
- Madison P Perriolat
- Andrew Joseph Ponichtera
- Claudia Quinlan
- Samantha Roark
- Alexander Paul Sabia
- Mark Andrew Sabo
- Alanna Julien Sam
All providers in Weatogue, CT · Physical Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 17, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.