Active NPI
Tara Carey Friedler, PHYSICAL THERAPY
- Physical Therapist
- Greenwich, CT
National Provider Identifier
1255762522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10680
- Practice address
- 49 Lake Ave # LL3
Greenwich, CT 06830-4501 - Phone
- (203) 275-9455
- Fax
- (203) 651-1820
- NPI assigned
- Dec 11, 2013
- 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 | 10680 | CT | Primary |
Addresses
Primary practice location
49 Lake Ave # LL3
Greenwich, CT 06830-4501
Mailing address
49 Lake Ave # LL3
Greenwich, CT 06830-4501
Phone (203) 275-9455
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
49 Lake Ave
LL3
Greenwich, CT 06830-4501
Phone (203) 275-9455
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10680 | CT | MD | Orthodontics and Dentofacial Orthopedic Dentist |
| 025990 | NY | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Impact PT & Ergonomic Solutions PLLC | Physical Therapist | Current | Accepting new patients |
Locations
49 Lake Ave
Ste LL3
Greenwich, CT 06830
Phone (203) 622-9102
49 Lake Ave
Ste 3
Greenwich, CT 06830
Phone (203) 275-9455
Organizations & group practices 1
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.
-
- Physical Therapist
- Greenwich, CT
- NPI 1437896586
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386720000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718668800000",
"number": "1255762522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "49 LAKE AVE # LL3",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068304501",
"telephone_number": "203-275-9455",
"fax_number": "203-651-1820"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 LAKE AVE # LL3",
"city": "GREENWICH",
"state": "CT",
"postal_code": "068304501",
"telephone_number": "203-275-9455",
"fax_number": "203-651-1820"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FRIEDLER",
"first_name": "TARA",
"middle_name": "CAREY",
"name_prefix": "Ms.",
"credential": "PHYSICAL THERAPY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-11",
"last_updated": "2024-06-18",
"certification_date": "2024-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "10680",
"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 Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.