Civic Wilton, PLLC

Primary specialty

Infusion Therapy Clinic/CenterTaxonomy code 261QI0500X

Legal business name

CIVIC WILTON, PLLC

Practice address

249 Danbury Road
Wilton, CT 06897

Phone

(816) 537-3433

Fax

(816) 537-3431

NPI assigned

Sep 27, 2017

Last updated

Apr 16, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sue Ellen Rottura

Title

Chief Operations Officer

Phone

(561) 323-8987

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kristina Bikoulova, APRN

  • Family Nurse Practitioner
  • Wilton, CT
  • NPI 1568119667
  Medicare reassignment Care Compare group NPD
• Emily Mackey Dasilva, APRN

  • Acute Care Nurse Practitioner
  • Farmington, CT
  • NPI 1215454863
  Medicare reassignment Care Compare group NPD
• Lauren Ashley Perugini, APRN

  • Family Nurse Practitioner
  • Waterbury, CT
  • NPI 1366118069
  Medicare reassignment Care Compare group NPD
• Tracey Velo, FNP-BC

  • Family Nurse Practitioner
  • Wilton, CT
  • NPI 1851957831
  Medicare reassignment Care Compare group NPD
• Linesary Cezaire

  • Family Nurse Practitioner
  • Brockton, MA
  • NPI 1467950741

  CT

  Medicare reassignment Care Compare group NPD
• Lauren Novy, APRN

  • Family Nurse Practitioner
  • Stamford, CT
  • NPI 1871365023
  Medicare reassignment Care Compare group
• Leeann Dam, FNP-C

  • Family Nurse Practitioner
  • Dallas, TX
  • NPI 1275924169

  CT

  Medicare reassignment NPD
• Kristina Marie Stallard, MS, RN, NP-C

  • Family Nurse Practitioner
  • Englewood, OH
  • NPI 1972953032

  CT

  Medicare reassignment NPD
• Barry D Stein, MD

  • Anesthesiology Physician
  • Westbury, NY
  • NPI 1952318487

  CT

  Medicare reassignment NPD
• Robert Roteman, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Chappaqua, NY
  • NPI 1871511865

  CT

  Medicare reassignment

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

{
    "created_epoch": "1506470400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1776297600000",
    "number": "1508375064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "249 DANBURY RD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "068974070",
            "telephone_number": "816-537-3431",
            "fax_number": "816-537-3431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "249 DANBURY ROAD",
            "city": "WILTON",
            "state": "CT",
            "postal_code": "06897",
            "telephone_number": "816-537-3433",
            "fax_number": "816-537-3431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1177 Post Rd Ste 2A",
            "address_purpose": "LOCATION",
            "city": "Fairfield",
            "state": "CT",
            "postal_code": "068246034",
            "country_code": "US",
            "telephone_number": "203-883-0038",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CIVIC WILTON, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-27",
        "last_updated": "2026-04-16",
        "certification_date": "2026-04-16",
        "status": "A",
        "authorized_official_last_name": "ROTTURA",
        "authorized_official_first_name": "SUE",
        "authorized_official_middle_name": "ELLEN",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "561-323-8987"
    },
    "taxonomies": [
        {
            "code": "261QI0500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Infusion Therapy",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chiropractic Health Center of Wilton
• Chiropractic Health Center of Wilton
• Thomas Eric Christensen, COTA
• Beth Chroninger
• Julita Cinguina, APRN
• Brian L Clark, PT
• Donnanne Mary Clarke, OTR
• Cristin Coakley
• Coastal Naturopathic & Acupuncture
• Lori B Coda, MS, SPED

• Infusion Therapy Clinic/Center in Wilton, CT
• Providers in Wilton, CT by specialty
• Infusion Therapy Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2026; 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.