Organization Active NPI

Sieglinde Liu Physical Therapy LLC

  • Physical Therapist
  • Fairfield, CT
National Provider Identifier
1467565150
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
004601 Issued in CT
Legal business name
SIEGLINDE LIU PHYSICAL THERAPY LLC
Practice address
1735 Post Rd
Suite # 7
Fairfield, CT 06824-5782
Phone
(203) 256-4733
Fax
(203) 256-4736
NPI assigned
Aug 16, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sieglinde Liu, P. T.NPI 1629080783
Title
Owner
Phone
(860) 205-9831

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 004601 CT Primary

Addresses

Primary practice location

1735 Post Rd
Suite # 7
Fairfield, CT 06824-5782

Mailing address

35 Inverness CT
Cheshire, CT 06410-3548
Phone (203) 250-1005

Other identifiers 2

IdentifierTypeStateIssuer
080004601CT01OtherCTANTHEM BC/BS
2V1326OtherCTHEALTH NET

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20060929000292 CT Part B Supplier - Clinic/Group Practice 4486659273 Receives reassigned benefits from 1 practitioner
Practice locations: Fairfield, CT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1155686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1467565150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 INVERNESS CT",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103548",
            "telephone_number": "203-250-1005",
            "fax_number": "203-250-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1735 POST RD",
            "address_2": "SUITE # 7",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245782",
            "telephone_number": "203-256-4733",
            "fax_number": "203-256-4736"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SIEGLINDE LIU PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LIU",
        "authorized_official_first_name": "SIEGLINDE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-205-9831",
        "authorized_official_credential": "P. T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "004601",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "080004601CT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH NET",
            "identifier": "2V1326",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.