Irene Cecelia Gersz, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

000212 Issued in CT

Practice address

35 Marc Dr
Wallingford, CT 06492-5708

Phone

(203) 265-0981

NPI assigned

Feb 17, 2010

Sex

Female

Sole proprietor

No

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, last updated by the provider on Feb 17, 2010.

{
    "created_epoch": "1266364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1266364800000",
    "number": "1598087694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 MARC DR",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064925708",
            "telephone_number": "203-265-0981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MARC DR",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064925708",
            "telephone_number": "203-265-0981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GERSZ",
        "first_name": "IRENE",
        "middle_name": "CECELIA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-02-17",
        "last_updated": "2010-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CT",
            "license": "000212",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Wallingford, CT
• Physical Therapy Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2010; 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.