January Violette, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1553 Issued in CT

Practice address

136 West Main Street
Cora
New Britain, CT 06051

Phone

(860) 225-7429

Fax

(860) 826-4762

NPI assigned

Feb 16, 2017

Last updated

Feb 16, 2017By the provider in NPPES

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

• Ms. January M Kubick Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1487203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1386183887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 WEST MAIN STREET",
            "address_2": "CONNECTICUT ORTHOPEDIC REHABILITATION ASSOCIATES",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "060521315",
            "telephone_number": "860-826-4763",
            "fax_number": "860-826-4762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 WEST MAIN STREET",
            "address_2": "CORA",
            "city": "NEW BRITAIN",
            "state": "CT",
            "postal_code": "06051",
            "telephone_number": "860-225-7429",
            "fax_number": "860-826-4762"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VIOLETTE",
        "first_name": "JANUARY",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-02-16",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CT",
            "license": "1553",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JANUARY",
            "last_name": "KUBICK",
            "middle_name": "M",
            "prefix": "MS.",
            "credential": "PTA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Physical Therapy Assistant in New Britain, CT
• Providers in New Britain, CT by specialty
• Physical Therapy Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.