Active NPI
Tatiana N Dupere, RPT REGISTERED PHYSI
- Physical Therapist
- Prospect, CT
National Provider Identifier
1548445745
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 006528
- 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, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 006528 | CT | MD | Clinical Social Worker |
| 15050 | MA | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Orthopaedic Associates of Northern Connecticut, P.C. | Past | 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.
-
- Orthopaedic Surgery Physician
- Enfield, CT
- NPI 1740332162
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
- Diabetes Care Center LLC
- Barbara S Dowling, P.T.
- Kathleen Ann Doyle, RPT
- Dr Thomas J Deluca and Dr Anthony C Marciano and Associates P C
- Patrick R Duffy Jr., M.D.
- Terri J Dvorkin, APRN
- Eye Care Associates
- Ez Pharm LLC (Ez Pharm Pharmacy)
- Ezpharm Pharmacy (EZPharm, LLC)
- Alexandra Elizabeth Ford, APRN, FNP
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.