Andrea Taylor

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

006718 Issued in CT

Practice address

61 Titus Coan Rd
Killingworth, CT 06419-1446

Phone

(203) 215-5356

NPI assigned

Sep 11, 2018

Last updated

Sep 11, 2018By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Connectcare

  • Home Health Agency
  • Guilford, CT
  • NPI 1346617115
  NPD (past)

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

{
    "created_epoch": "1536624000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536624000000",
    "number": "1518440940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "61 TITUS COAN RD",
            "city": "KILLINGWORTH",
            "state": "CT",
            "postal_code": "064191446",
            "telephone_number": "203-215-5356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "61 TITUS COAN RD",
            "city": "KILLINGWORTH",
            "state": "CT",
            "postal_code": "064191446",
            "telephone_number": "203-215-5356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TAYLOR",
        "first_name": "ANDREA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-11",
        "last_updated": "2018-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "006718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joanne Ruggiero, LCSW
• Cynthia Lee Sarris, LCSW
• Darcie Lynn Schwab, APRN, PMHNP-BC
• Michelle Ann Serbent, MS, OTR/L
• Sarah Suatoni, MA, LPC
• Joyce Margareta Thomson, PDC (DONA)
• Ethan Warchol
• Stephanie Phyllis Warren, PH.D.
• Catherene Williams
• Ronald E. Wygonik, D.D.S.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.