Active NPI
Laura L Petit, P.T.
- Physical Therapist
- Greenwich, CT
National Provider Identifier
1225164643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 007816
- Practice address
- 500 W Putnam Ave
Greenwich, CT 06830-6086 - Phone
- (203) 869-5546
- Fax
- (203) 629-4836
- NPI assigned
- Feb 27, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 007816 | CT | Primary |
Addresses
Primary practice location
500 W Putnam Ave
Greenwich, CT 06830-6086
Mailing address
8 Knoll St
Riverside, CT 06878-2111
Phone (203) 637-8543
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 |
|---|---|---|---|
| 007816 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1225164643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8 KNOLL ST",
"city": "RIVERSIDE",
"state": "CT",
"postal_code": "068782111",
"telephone_number": "203-637-8543"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 W PUTNAM AVE",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068306086",
"telephone_number": "203-869-5546",
"fax_number": "203-629-4836"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PETIT",
"first_name": "LAURA",
"middle_name": "L",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-27",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "007816",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenwich, 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.