Leah Pfrommer, RD

Primary specialty

Obesity and Weight Management Nutrition Registered DietitianTaxonomy code 133VN1201X

License

86171717 Issued in CT

Practice address

25 Newell Rd
Bristol, CT 06010-5100

Phone

(860) 845-8367

NPI assigned

Sep 20, 2022

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1663632000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1437872157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 SELMA CT",
            "city": "WEATOGUE",
            "state": "CT",
            "postal_code": "060899619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 NEWELL RD",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060105100",
            "telephone_number": "860-845-8367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PFROMMER",
        "first_name": "LEAH",
        "credential": "RD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-20",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133VN1201X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered, Nutrition, Obesity and Weight Management",
            "state": "CT",
            "license": "86171717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Lynn Perfetto, APRN
• David W Perkins, DMD
• Kimberly Ann Perry Sheridan, PTA
• Lakreshia Perry, LMSW
• Christina Ann Petry
• Aiesha Phelmetto, MFT
• Manhouly Phouthachack
• Physical Therapy and Massage of CT, LLC
• Physical Therapy Center of Bristol, LLC (FYZICAL Therapy & Balance Center)
• Amanda Sara Piccoli, MSPT

• Obesity and Weight Management Nutrition Registered Dietitian in Bristol, CT
• Providers in Bristol, CT by specialty
• Obesity and Weight Management Nutrition Registered Dietitian in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.