Active NPI
Christine June Ladyga, PT
- Physical Therapist
- Oakdale, CT
National Provider Identifier
1487318168
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 003005
- Practice address
- 627 Norwich Salem Tpke Unit 2
Oakdale, CT 06370-1066 - Phone
- (860) 222-0949
- NPI assigned
- Oct 28, 2021
- Last updated
- Oct 28, 2021
- Sex
- Female
- Sole proprietor
- Yes
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 | 003005 | CT | Primary |
Addresses
Primary practice location
627 Norwich Salem Tpke Unit 2
Oakdale, CT 06370-1066
Mailing address
24 Bindloss Rd
Mystic, CT 06355-1820
Phone (860) 639-1958
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 |
|---|---|---|---|
| 003005 | CT | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Whole Self Wellness, LLC | Current | Accepting new patients |
Locations
627 Norwich Salem Tpke
Unit 2
Oakdale, CT 06370
Phone (860) 222-0949
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/DHBJDD
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Primary Care Clinic/Center
- Norwich, CT
- NPI 1588114870
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1635379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1635379200000",
"number": "1487318168",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 BINDLOSS RD",
"city": "MYSTIC",
"state": "CT",
"postal_code": "063551820",
"telephone_number": "860-639-1958"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "627 NORWICH SALEM TPKE UNIT 2",
"city": "OAKDALE",
"state": "CT",
"postal_code": "063701066",
"telephone_number": "860-222-0949"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LADYGA",
"first_name": "CHRISTINE",
"middle_name": "JUNE",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-28",
"last_updated": "2021-10-28",
"certification_date": "2021-10-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "003005",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oakdale, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.