Active NPI
Amy L Person, D.C.
- Chiropractor
- South Windsor, CT
National Provider Identifier
1548205412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1612
- Practice address
- 469 Buckland Rd
Suite 104
South Windsor, CT 06074-3737 - Phone
- (860) 648-2259
- Fax
- (860) 648-2866
- NPI assigned
- Jun 17, 2006
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1612 | CT | Primary |
Addresses
Primary practice location
469 Buckland Rd
Suite 104
South Windsor, CT 06074-3737
Mailing address
469 Buckland Rd
Suite 104
South Windsor, CT 06074-3737
Phone (860) 648-2259
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001612 | CT | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150502400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1219190400000",
"number": "1548205412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "469 BUCKLAND RD",
"address_2": "SUITE 104",
"city": "SOUTH WINDSOR",
"state": "CT",
"postal_code": "060743737",
"telephone_number": "860-648-2259",
"fax_number": "860-648-2866"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "469 BUCKLAND RD",
"address_2": "SUITE 104",
"city": "SOUTH WINDSOR",
"state": "CT",
"postal_code": "060743737",
"telephone_number": "860-648-2259",
"fax_number": "860-648-2866"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PERSON",
"first_name": "AMY",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-17",
"last_updated": "2008-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "1612",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in South Windsor, CT
- Karen Ann Peck, CTRS, CLC, CST, QST
- Melissa Peckham
- Pediatric Therapy Solutions LLC
- Jessemyn Esther Pekari, MFT
- Alexander Drew Pepe, LCSW
- Mark Peter Petruzzi, R.PH.
- Mary P Petruzzi, R.PH
- Walter Pierog, D.M.D.
- Pinnacle Rehabilitation Network, LLC (South Windsor Physical Therapy Plus)
- Nicole Pipitone, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.