Fisio Physical Therapy & Wellness, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

FISIO PHYSICAL THERAPY & WELLNESS, LLC

Practice address

141 Mount Pleasant Rd
Newtown, CT 06470-1438

Phone

(203) 270-2977

Fax

(203) 841-1245

NPI assigned

Dec 21, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Karin Williams Labanca, PT, DPT

Title

Owner

Phone

(203) 270-2977

Specialties & licenses 1

Addresses

Other identifiers 4

Locations

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521244800000",
    "number": "1194028779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 PAUGUSSETT RD",
            "address_2": "SUITE B",
            "city": "SANDY HOOK",
            "state": "CT",
            "postal_code": "064821503",
            "telephone_number": "203-947-2849"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 MOUNT PLEASANT RD",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064701438",
            "telephone_number": "203-270-2977",
            "fax_number": "203-841-1245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "53 Lake Avenue Ext",
            "address_purpose": "LOCATION",
            "city": "Danbury",
            "state": "CT",
            "postal_code": "068115229",
            "country_code": "US",
            "telephone_number": "203-826-7549",
            "fax_number": "203-998-0453",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "FISIO PHYSICAL THERAPY & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2018-03-17",
        "status": "A",
        "authorized_official_last_name": "LABANCA",
        "authorized_official_first_name": "KARIN",
        "authorized_official_middle_name": "WILLIAMS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-270-2977",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "080006688CT05",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OPTUM- UNITED HEALTH CARE",
            "identifier": "776575",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0402615",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0402615",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Newtown, CT
• Providers in Newtown, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.