Active NPI
Lindsey Ertel, DPT
- Physical Therapist
- Wallingford, CT
National Provider Identifier
1184943813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 8808
- Practice address
- 8 Research Pkwy
Wallingford, CT 06492-1930 - Phone
- (203) 294-1998
- Fax
- (203) 294-1189
- NPI assigned
- May 20, 2010
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 8808 | CT | Primary |
| Ergonomics Physical Therapist | 2251E1200X | 8808 | CT | |
| Geriatric Physical Therapist | 2251G0304X | 8808 | CT | |
| Pediatric Physical Therapist | 2251P0200X | 8808 | CT | |
| Sports Physical Therapist | 2251S0007X | 8808 | CT | |
| Orthopedic Physical Therapist | 2251X0800X | 8808 | CT |
Addresses
Primary practice location
8 Research Pkwy
Wallingford, CT 06492-1930
Mailing address
8 Research Pkwy
Wallingford, CT 06492-1930
Phone (203) 294-1998
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8808 | CT | MD | Pediatric Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274313600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274313600000",
"number": "1184943813",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 RESEARCH PKWY",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064921930",
"telephone_number": "203-294-1998",
"fax_number": "203-294-1189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8 RESEARCH PKWY",
"city": "WALLINGFORD",
"state": "CT",
"postal_code": "064921930",
"telephone_number": "203-294-1998",
"fax_number": "203-294-1189"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ERTEL",
"first_name": "LINDSEY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-05-20",
"last_updated": "2010-05-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "8808",
"primary": true
},
{
"code": "2251E1200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Ergonomics",
"state": "CT",
"license": "8808",
"primary": false
},
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "CT",
"license": "8808",
"primary": false
},
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "CT",
"license": "8808",
"primary": false
},
{
"code": "2251S0007X",
"taxonomy_group": "",
"desc": "Physical Therapist, Sports",
"state": "CT",
"license": "8808",
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CT",
"license": "8808",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wallingford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.