Active NPI
Tracey Jenine Schippani, P.T.
- Physical Therapist
- Wolcott, CT
National Provider Identifier
1205032380
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 003907
- Practice address
- 444 Wolcott Rd
Wolcott, CT 06716-2639 - Phone
- (203) 879-4695
- NPI assigned
- Jun 25, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 003907 | CT | Primary |
Addresses
Primary practice location
444 Wolcott Rd
Wolcott, CT 06716-2639
Mailing address
241 Woodtick Rd
Wolcott, CT 06716-2757
Phone (203) 879-6060
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 |
|---|---|---|---|
| 3907 | CT | MD | Clinical Psychologist |
| 003907 | CT | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Didomizio Health & Rehabilitation | Past | Accepting new patients | |
| Superior Health Care of CT, LLC | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Wolcott, CT
- NPI 1659565901
-
- Critical Care Medicine (Internal Medicine) Physician
- Wolcott, CT
- NPI 1366981128
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182729600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1205032380",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "241 WOODTICK RD",
"city": "WOLCOTT",
"state": "CT",
"postal_code": "067162757",
"telephone_number": "203-879-6060"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "444 WOLCOTT RD",
"city": "WOLCOTT",
"state": "CT",
"postal_code": "067162639",
"telephone_number": "203-879-4695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SCHIPPANI",
"first_name": "TRACEY",
"middle_name": "JENINE",
"name_prefix": "Mrs.",
"credential": "P.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-25",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "003907",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wolcott, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.