Individual provider Active NPI

Carolina Stubbs, PT

  • Physical Therapist
  • Westport, CT
National Provider Identifier
1154598456
Registry record updated May 15, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10097 Issued in CT
Practice address
22 Crescent Rd
Westport, CT 06880-4542
Phone
(203) 227-5431
NPI assigned
May 15, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 15, 2008

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 10097 CT Primary

Addresses

Primary practice location

22 Crescent Rd
Westport, CT 06880-4542

Mailing address

22 Crescent Rd
Westport, CT 06880-4542
Phone (203) 227-5431

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080723000516 CT Practitioner - Physical Therapist in Private Practice 8123191244 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Toronto, Faculty of Medicine, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

735 Post E Rd
Westport, CT 06880-5219
Phone (203) 300-6857

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Connecticut Family Physical Therapy LLC CurrentSince Apr 1, 2020 Accepting new patients

Locations

22 Crescent Rd
Westport, CT 06880
Phone (203) 226-2216

735 Post Rd E
Westport, CT 06880
Phone (203) 227-5431

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.

NPI Registry JSON

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

{
    "created_epoch": "1210809600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1154598456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CRESCENT RD",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804542",
            "telephone_number": "203-227-5431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CRESCENT RD",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804542",
            "telephone_number": "203-227-5431"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STUBBS",
        "first_name": "CAROLINA",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-15",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "10097",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.