Paulette Marie Patrick, RPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

003709 Issued in CT

Practice address

209 Cherry St
Milford, CT 06460-3501

Phone

(203) 874-5437

Fax

(203) 301-0552

NPI assigned

Apr 28, 2012

Reactivated

Dec 18, 2019

Last updated

Dec 18, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1335571200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1578821492",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 CHERRY ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603501",
            "telephone_number": "203-874-5437",
            "fax_number": "203-301-0552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 CHERRY ST",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064603501",
            "telephone_number": "203-874-5437",
            "fax_number": "203-301-0552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PATRICK",
        "first_name": "PAULETTE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-04-28",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "deactivation_date": "2012-10-17",
        "reactivation_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "CT",
            "license": "003709",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kush Ghanshyam Patel, PA-C
• Mamta Patel, M.D.
• Sanjay Patel, D.P.M.
• Sweta Patel
• Matthew D. Paterna, D.C.
• Kady Ryanne Patterson, AUD
• Paul Fischer MD P.C.
• Thomas G Pavlovic, M.D.
• Paris Payton
• Alyssa Suzanne Pearce, OTR/L

• Pediatric Physical Therapist in Milford, CT
• Providers in Milford, CT by specialty
• Pediatric Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.