Individual provider Active NPI

Tatiana N Dupere, RPT REGISTERED PHYSI

  • Physical Therapist
  • Prospect, CT
National Provider Identifier
1548445745
Registry record updated Jan 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
006528 Issued in CT
Practice address
93 Waterbury Road
Rifkin Physical Therapy and Lymphedema Center LLC
Prospect, CT 06712-1482
Phone
(203) 758-6569
Fax
(203) 758-0443
NPI assigned
Jan 7, 2008
Last updated
Jan 7, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 006528 CT Primary
Physical Therapist 225100000X 15050 MA

Addresses

Primary practice location

93 Waterbury Road
Rifkin Physical Therapy and Lymphedema Center LLC
Prospect, CT 06712-1482

Mailing address

470 Pinewood Drive
Longmeadow, MA 01106-1644
Phone (413) 567-2170

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

LicenseStateTypeSpecialty
006528CTMDClinical Social Worker
15050MAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Orthopaedic Associates of Northern Connecticut, P.C. PastSince Jan 29, 2023 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1199664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1199664000000",
    "number": "1548445745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 PINEWOOD DRIVE",
            "city": "LONGMEADOW",
            "state": "MA",
            "postal_code": "011061644",
            "telephone_number": "413-567-2170"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "93 WATERBURY ROAD",
            "address_2": "RIFKIN PHYSICAL THERAPY AND LYMPHEDEMA CENTER LLC",
            "city": "PROSPECT",
            "state": "CT",
            "postal_code": "067121482",
            "telephone_number": "203-758-6569",
            "fax_number": "203-758-0443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUPERE",
        "first_name": "TATIANA",
        "middle_name": "N",
        "name_prefix": "Mrs.",
        "credential": "RPT REGISTERED PHYSI",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-07",
        "last_updated": "2008-01-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "006528",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MA",
            "license": "15050",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prospect, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 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.

Verify at the official NPI Registry.