Active NPI
Llonel Laxamana De Dios
- Physical Therapist
- Wilton, CT
National Provider Identifier
1154747798
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 9739
- Practice address
- 44 Old Ridgefield
Road Suite 213 Fox Rehab Connecticut Regional Office
Wilton, CT 06897 - Phone
- (407) 681-2999
- Fax
- (407) 671-7615
- NPI assigned
- Mar 6, 2014
- Sex
- Male
- 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 | 9739 | CT | Primary |
Addresses
Primary practice location
44 Old Ridgefield
Road Suite 213 Fox Rehab Connecticut Regional Office
Wilton, CT 06897
Mailing address
44 Old Ridgefield
Road Suite 213 Fox Rehab Connecticut Regional Office
Wilton, CT 06897
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9739 | CT | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1394064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1394064000000",
"number": "1154747798",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 OLD RIDGEFIELD",
"address_2": "ROAD SUITE 213 FOX REHAB CONNECTICUT REGIONAL OFFICE",
"city": "WILTON",
"state": "CT",
"postal_code": "06897"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 OLD RIDGEFIELD",
"address_2": "ROAD SUITE 213 FOX REHAB CONNECTICUT REGIONAL OFFICE",
"city": "WILTON",
"state": "CT",
"postal_code": "06897",
"telephone_number": "407-681-2999",
"fax_number": "407-671-7615"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE DIOS",
"first_name": "LLONEL",
"middle_name": "LAXAMANA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-03-06",
"last_updated": "2014-03-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "9739",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.