Active NPI
Teri F Lavallee, RPT
- Orthopedic Physical Therapist
- New Haven, CT
National Provider Identifier
1316944101
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 007425
- Practice address
- 199 Whitney Ave
New Haven, CT 06511-3786 - Phone
- (203) 865-6784
- Fax
- (203) 865-6788
- NPI assigned
- Jul 7, 2005
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 007425 | CT | Primary |
Addresses
Primary practice location
199 Whitney Ave
New Haven, CT 06511-3786
Mailing address
199 Whitney Ave
New Haven, CT 06511-3786
Phone (203) 865-6784
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 |
|---|---|---|---|
| 007425 | CT | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120694400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294963200000",
"number": "1316944101",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "199 WHITNEY AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065113786",
"telephone_number": "203-865-6784",
"fax_number": "203-865-6788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "199 WHITNEY AVE",
"city": "NEW HAVEN",
"state": "CT",
"postal_code": "065113786",
"telephone_number": "203-865-6784",
"fax_number": "203-865-6788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LAVALLEE",
"first_name": "TERI",
"middle_name": "F",
"name_prefix": "Ms.",
"credential": "RPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-07-07",
"last_updated": "2011-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "CT",
"license": "007425",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 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.