Individual provider Active NPI

Maria Isabel Wainman, PT

  • Orthopedic Physical Therapist
  • Bristol, CT
National Provider Identifier
1215167705
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
008578 Issued in CT
Practice address
135 Middle St
Bristol, CT 06010-8400
Phone
(860) 585-5800
Fax
(860) 585-5840
NPI assigned
Jul 20, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 008578 CT Primary

Addresses

Primary practice location

135 Middle St
Bristol, CT 06010-8400

Mailing address

72 Pine Street , Unit a
Bristol, CT 06010
Phone (860) 585-5800

Other names 1

  • Maria Isabel Rodriguez Professional name

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

LicenseStateTypeSpecialty
008578CTMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Danbury Physical Medicine and Rehabilitation PC Past Accepting new patients
Physical Therapy Center of Bristol, LLC Orthopedic PastSince Oct 1, 2003 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.

NPI Registry JSON

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

{
    "created_epoch": "1248048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1215167705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 PINE STREET , UNIT A",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "06010",
            "telephone_number": "860-585-5800",
            "fax_number": "860-585-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MIDDLE ST",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060108400",
            "telephone_number": "860-585-5800",
            "fax_number": "860-585-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WAINMAN",
        "first_name": "MARIA",
        "middle_name": "ISABEL",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-20",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CT",
            "license": "008578",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MARIA",
            "last_name": "RODRIGUEZ",
            "middle_name": "ISABEL",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Bristol, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2009; 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.