Active NPI
Katelynd Lee Tremblay, DPT
- Physical Therapist
- Waterbury, CT
National Provider Identifier
1386170215
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 10222
- Practice address
- 60 Westwood Ave
300
Waterbury, CT 06708-2460 - Phone
- (203) 755-9166
- NPI assigned
- May 11, 2017
- Sex
- Female
- Sole proprietor
- Yes
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 | 10222 | CT | Primary |
Addresses
Primary practice location
60 Westwood Ave
300
Waterbury, CT 06708-2460
Mailing address
9 Baldwin St
Watertown, CT 06795-2215
Phone (203) 808-2465
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 |
|---|---|---|---|
| 10222 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494460800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494460800000",
"number": "1386170215",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 BALDWIN ST",
"city": "WATERTOWN",
"state": "CT",
"postal_code": "067952215",
"telephone_number": "203-808-2465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "60 WESTWOOD AVE",
"address_2": "300",
"city": "WATERBURY",
"state": "CT",
"postal_code": "067082460",
"telephone_number": "203-755-9166"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TREMBLAY",
"first_name": "KATELYND",
"middle_name": "LEE",
"name_prefix": "Ms.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-05-11",
"last_updated": "2017-05-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "10222",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Waterbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.