Audra Stawicki, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

9665 Issued in CT

Practice address

450 Boston Post Rd
Guilford, CT 06437-2933

Phone

(203) 453-0459

Fax

(203) 466-8527

NPI assigned

Nov 30, 2012

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)

Enrolled

State licenses

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

{
    "created_epoch": "1354233600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643155200000",
    "number": "1447595509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2408 WHITNEY AVE",
            "city": "HAMDEN",
            "state": "CT",
            "postal_code": "065183209",
            "telephone_number": "203-626-0160",
            "fax_number": "203-294-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 BOSTON POST RD",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372933",
            "telephone_number": "203-453-0459",
            "fax_number": "203-466-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STAWICKI",
        "first_name": "AUDRA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-11-30",
        "last_updated": "2022-01-26",
        "certification_date": "2022-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "9665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• SSC II LLC
• William K. Stableford, PH.D.
• Barbara Rose Stahl, APRN
• Richard Sheldon Stahl, M.D.
• Holly Beth Starkman, HOLLY STARKMAN
• Jonathan H R Stein, MD
• Lisa B Stein
• Derek Matthew Steinbacher, DMD, MD, FACS
• Harold F Stepanek, MD
• Loren B Sterman, L.C.S.W.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 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.