Interventional Orthopedics CT, P.C

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

Legal business name

INTERVENTIONAL ORTHOPEDICS CT, P.C

Practice address

195 Danbury Rd Ste B200
Wilton, CT 06897-6009

Phone

(203) 456-5717

NPI assigned

Apr 27, 2020

Organization subpart

No

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

Authorized official

Name

Alexandra Dicamillo

Title

Manager

Phone

(203) 456-5717

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Daniel O Southern, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Norwalk, CT
  • NPI 1154346302
  Medicare reassignment NPD

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

{
    "created_epoch": "1587945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1134740566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 DANBURY RD STE B200",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068976009",
            "telephone_number": "203-456-5717"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 DANBURY RD STE B200",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068976009",
            "telephone_number": "203-456-5717"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERVENTIONAL ORTHOPEDICS CT, P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "DICAMILLO",
        "authorized_official_first_name": "ALEXANDRA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "203-456-5717"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Hiykel, PT, DPT
• Ashley Anne Hoerl
• Ashley Nicole Hutcheson, OTD, OTR/L
• Hvra of Ridgefield, LLC (OrthoConnecticut Imaging)
• Lisa Illinger
• Varshapriya Iyer, M.D.
• Jeri A Jamison
• Khushbu V Janani, D.O
• Jaimin S Jani
• Amanda Elizabeth Jenks, ATC, CSCS

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Wilton, CT
• Providers in Wilton, CT by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.