Active NPI
Lesley May Pincince, PT
- Geriatric Physical Therapist
- Woodbridge, CT
National Provider Identifier
1477723716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Geriatric Physical Therapist
- License
- 007043
- Practice address
- 330 Amity Rd
Woodbridge, CT 06525-2131 - Phone
- (203) 814-4055
- Fax
- (203) 389-5712
- NPI assigned
- Mar 3, 2008
- 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 |
|---|---|---|---|---|
| Geriatric Physical Therapist | 2251G0304X | 007043 | CT | Primary |
Addresses
Primary practice location
330 Amity Rd
Woodbridge, CT 06525-2131
Mailing address
330 Amity Rd
Woodbridge, CT 06525-2131
Phone (203) 814-4055
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 |
|---|---|---|---|
| 007043 | CT | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1204502400000",
"number": "1477723716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "330 AMITY RD",
"city": "WOODBRIDGE",
"state": "CT",
"postal_code": "065252131",
"telephone_number": "203-814-4055",
"fax_number": "203-389-5712"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "330 AMITY RD",
"city": "WOODBRIDGE",
"state": "CT",
"postal_code": "065252131",
"telephone_number": "203-814-4055",
"fax_number": "203-389-5712"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PINCINCE",
"first_name": "LESLEY",
"middle_name": "MAY",
"name_prefix": "Miss",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-03-03",
"last_updated": "2008-03-03",
"status": "A"
},
"taxonomies": [
{
"code": "2251G0304X",
"taxonomy_group": "",
"desc": "Physical Therapist, Geriatrics",
"state": "CT",
"license": "007043",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Woodbridge, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.