Active NPI
Kimberly Liffers
- Physical Therapy Assistant
- Berlin, CT
National Provider Identifier
1184066797
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1375
- Practice address
- 1231 Farmington Ave
Berlin, CT 06037-2301 - Phone
- (860) 829-5577
- Fax
- (860) 829-5577
- NPI assigned
- Jul 24, 2013
- Last updated
- Jul 24, 2013
- 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 Therapy Assistant | 225200000X | 1375 | CT | Primary |
Addresses
Primary practice location
1231 Farmington Ave
Berlin, CT 06037-2301
Mailing address
103 Bowdoin St
Springfield, MA 01109-4001
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374624000000",
"number": "1184066797",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 BOWDOIN ST",
"city": "SPRINGFIELD",
"state": "MA",
"postal_code": "011094001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1231 FARMINGTON AVE",
"city": "BERLIN",
"state": "CT",
"postal_code": "060372301",
"telephone_number": "860-829-5577",
"fax_number": "860-829-5577"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LIFFERS",
"first_name": "KIMBERLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-24",
"last_updated": "2013-07-24",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CT",
"license": "1375",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Berlin, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.