Nicole Christine Rava, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

11661 Issued in CT

Practice address

106 Route 66
Columbia, CT 06237-1136

Phone

(860) 228-0194

NPI assigned

Nov 6, 2017

Last updated

Aug 14, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Crossroads Physical Therapy LLCGroup PAC ID 7214196971, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Crossroads Physical Therapy LLC

  • Physical Therapist
  • Columbia, CT
  • NPI 1134295678
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597363200000",
    "number": "1497268064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 ROUTE 66",
            "city": "COLUMBIA",
            "state": "CT",
            "postal_code": "062371136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 ROUTE 66",
            "city": "COLUMBIA",
            "state": "CT",
            "postal_code": "062371136",
            "telephone_number": "860-228-0194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAVA",
        "first_name": "NICOLE",
        "middle_name": "CHRISTINE",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2020-08-14",
        "certification_date": "2020-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "11661",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PT, DPT",
            "identifier": "11661",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• New England Holistic Well-Being Center LLC
• Dawn Marie Orzolek, OTR/L
• Andrew Perry
• Jarlyn Phillips
• Elisa Marie Quesada, LCSW
• Jeanette Marie Rohan, PT
• Roots Natural Medical Center
• Robert A Salcedo, LCSW
• Kristine C Sevigny, RPT
• Sherry Michaud, LLC

• Physical Therapist in Columbia, CT
• Providers in Columbia, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.