Personal Wellness Physical Therapy LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

004483 Issued in CT

Legal business name

PERSONAL WELLNESS PHYSICAL THERAPY LLC

Practice address

35 Boston St
Guilford, CT 06437-2817

Phone

(203) 809-7813

NPI assigned

Oct 28, 2008

Last updated

Oct 28, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Karen E Austin, PT

Title

Owner

Phone

(203) 809-7813

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1336392950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "817 TOTOKET RD",
            "city": "NORTHFORD",
            "state": "CT",
            "postal_code": "064721458",
            "telephone_number": "203-484-0601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 BOSTON ST",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372817",
            "telephone_number": "203-809-7813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL WELLNESS PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "AUSTIN",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-809-7813",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CT",
            "license": "004483",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shadaneysa Pelzer
• Cristina P Pereira
• Michael R. Perelson, L.M.F.T.
• Elizabeth Grace Peri, L.C.S.W.
• Fallon Terese Perrelli, DPT
• Marissa Pesce, MS, OTR/L
• Jill Anne Peterson, RN, MSN, CPNP
• Thomas P Petrick Jr., DMD
• Katerina Philbrick, LPC
• Physical Therapy Specialists

• Specialist in Guilford, CT
• Providers in Guilford, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; 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.