Individual provider Active NPI

Izabela Tutka, PTA

  • Physical Therapy Assistant
  • New Britain, CT
National Provider Identifier
1215205455
Registry record updated Dec 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
000265 Issued in CT
Practice address
400 Brittany Farms Rd
New Britain, CT 06053-1154
Phone
(860) 612-6003
Fax
(860) 612-6038
NPI assigned
Dec 2, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 000265 CT Primary

Addresses

Primary practice location

400 Brittany Farms Rd
New Britain, CT 06053-1154

Mailing address

400 Brittany Farms Rd
New Britain, CT 06053-1154
Phone (860) 612-6003

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": "1322784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1322784000000",
    "number": "1215205455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BRITTANY FARMS RD",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060531154",
            "telephone_number": "860-612-6003",
            "fax_number": "860-612-6038"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 BRITTANY FARMS RD",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060531154",
            "telephone_number": "860-612-6003",
            "fax_number": "860-612-6038"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUTKA",
        "first_name": "IZABELA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-02",
        "last_updated": "2011-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CT",
            "license": "000265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Britain, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; 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.