Active NPI
Julie T Paolino, PT
- Physical Therapist
- Vernon, CT
National Provider Identifier
1477586519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 003435
- Practice address
- 435 Hartford Tpke
Suite U
Vernon, CT 06066-4852 - Phone
- (860) 870-8272
- Fax
- (860) 875-0804
- NPI assigned
- Jul 9, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 003435 | CT | Primary |
Addresses
Primary practice location
435 Hartford Tpke
Suite U
Vernon, CT 06066-4852
Mailing address
435 Hartford Tpke
Suite U
Vernon, CT 06066-4852
Phone (860) 979-1611
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003435 | CT | MD | Speech-Language Pathologist |
| 3435 | CT | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152403200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453939200000",
"number": "1477586519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 HARTFORD TPKE",
"address_2": "SUITE U",
"city": "VERNON",
"state": "CT",
"postal_code": "060664852",
"telephone_number": "860-979-1611",
"fax_number": "203-866-3014"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 HARTFORD TPKE",
"address_2": "SUITE U",
"city": "VERNON",
"state": "CT",
"postal_code": "060664852",
"telephone_number": "860-870-8272",
"fax_number": "860-875-0804"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAOLINO",
"first_name": "JULIE",
"middle_name": "T",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-09",
"last_updated": "2016-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "003435",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vernon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.