Active NPI
Jeannie Frances Lariosa Villamante, RPT, DPT
- Physical Therapist
- Avon, CT
National Provider Identifier
1477893931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 008125
- Practice address
- 652 W Avon Rd
Avon, CT 06001-2906 - Phone
- (860) 673-2521
- NPI assigned
- Feb 21, 2013
- 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 | 008125 | CT | Primary |
Addresses
Primary practice location
652 W Avon Rd
Avon, CT 06001-2906
Mailing address
1175 Farmington Ave
Apt 2-403
Bristol, CT 06010-4730
Phone (860) 518-4623
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 008125 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1361404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361404800000",
"number": "1477893931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1175 FARMINGTON AVE",
"address_2": "APT 2-403",
"city": "BRISTOL",
"state": "CT",
"postal_code": "060104730",
"telephone_number": "860-518-4623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "652 W AVON RD",
"city": "AVON",
"state": "CT",
"postal_code": "060012906",
"telephone_number": "860-673-2521"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VILLAMANTE",
"first_name": "JEANNIE FRANCES",
"middle_name": "LARIOSA",
"credential": "RPT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-02-21",
"last_updated": "2013-02-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "008125",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Avon, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.