Carolyn Woodaman, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

010260 Issued in CT

Practice address

435 Hartford Tpke
Suite U
Vernon, CT 06066-4852

Phone

(860) 870-8272

Fax

(860) 875-0804

NPI assigned

Aug 6, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Carolyn Grime Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Integrated Rehabilitation Services Limited Partnership

  • Physical Therapist
  • Vernon, CT
  • NPI 1346969532
  NPD (past)

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

{
    "created_epoch": "1407283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494979200000",
    "number": "1346659190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 HARTFORD TPKE",
            "address_2": "SUITE U",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664852",
            "telephone_number": "860-870-8272",
            "fax_number": "860-875-0804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 HARTFORD TPKE",
            "address_2": "SUITE U",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664852",
            "telephone_number": "860-870-8272",
            "fax_number": "860-875-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WOODAMAN",
        "first_name": "CAROLYN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-06",
        "last_updated": "2017-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "010260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROLYN",
            "last_name": "GRIME",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sarah L Williams
• Melanie Louise Winkler, LPC
• Elise Winter, PA-C
• Leslie Winter, CNM
• Womens Health Resources Inc
• Your Family Health Solutions LLC
• Robert Gerard Zborowski, D.D.S.

• Physical Therapist in Vernon, CT
• Providers in Vernon, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2017; 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.