Theresa Kaminsky, DPT

Key facts

NPI

1407249162

Entity type

Individual (NPI type 1)

Primary specialty

Physical Therapist 225100000X

License

010409 (CT)

Practice address

106 Route 66 East
Columbia, CT 06237

Phone

(860) 228-0194

Fax

(860) 228-2694

NPI assigned

Mar 5, 2015

Sex

Female

Sole proprietor

Yes

Medicare participation

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)

Yes

State licenses

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Mar 5, 2015.

{
    "created_epoch": "1425513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425513600000",
    "number": "1407249162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 ROUTE 66 E",
            "city": "COLUMBIA",
            "state": "CT",
            "postal_code": "062371224",
            "telephone_number": "860-228-0194",
            "fax_number": "860-228-2694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 ROUTE 66 EAST",
            "city": "COLUMBIA",
            "state": "CT",
            "postal_code": "06237",
            "telephone_number": "860-228-0194",
            "fax_number": "860-228-2694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KAMINSKY",
        "first_name": "THERESA",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-05",
        "last_updated": "2015-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "010409",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, CT

• Rory Hartnett
• Douglas Henry
• Dominica B Hernandez, PHD
• Rebecca Hetterich, MPT
• Kathleen M Hutter, NUTRITIONIST
• Mary Ann Key, LCSW
• Sarah J King, D.P.T
• Julianne Renee Kivlin, LMSW
• Douglas R Lavine, L.A.D.C.
• Christina Marie Lewis

All providers in Columbia, CT · Physical Therapist in Connecticut