NPIMap

Organization Active NPI

Therapy Unlimited-Children's Therapy Center

  • Developmentally Disabled Services Day Training Agency
  • Oakville, CT
National Provider Identifier
1598892739
Registry record updated Nov 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
Legal business name
THERAPY UNLIMITED-CHILDREN'S THERAPY CENTER
Practice address
900 Main St
Oakville, CT 06779-1999
Phone
(860) 945-3012
Fax
(860) 945-9854
NPI assigned
Feb 27, 2007
Last updated
Nov 18, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2011

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

Authorized official

Name
Catherine Risigo-WicklineNPI 1154458362
Title
Owner
Phone
(860) 945-3012

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CT
Registered Dietitian 133V00000X NU
Physical Therapist 225100000X NU
Occupational Therapist 225X00000X NU
Speech-Language Pathologist 235Z00000X NU
Developmentally Disabled Services Day Training Agency 251C00000X NU Primary

Addresses

Primary practice location

900 Main St
Oakville, CT 06779-1999

Mailing address

P.O Box 425
Watertown, CT 06795-0425
Phone (860) 945-3012

Other identifiers 1

IdentifierTypeStateIssuer
004186111MedicaidCT

Other names 1

  • Jumpstart Therapy & Fitness Network Other name

National Provider Directory

National Provider Directory
Tax ID family
Family Junction Birth to Three2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

900 Main St
Watertown, CT 06779
Phone (860) 945-1301

Practitioners & affiliated clinicians

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1172534400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321574400000",
    "number": "1598892739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O BOX 425",
            "city": "WATERTOWN",
            "state": "CT",
            "postal_code": "067950425",
            "telephone_number": "860-945-3012",
            "fax_number": "860-945-9854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 MAIN ST",
            "city": "OAKVILLE",
            "state": "CT",
            "postal_code": "067791999",
            "telephone_number": "860-945-3012",
            "fax_number": "860-945-9854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THERAPY UNLIMITED-CHILDREN'S THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-27",
        "last_updated": "2011-11-18",
        "status": "A",
        "authorized_official_last_name": "RISIGO-WICKLINE",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-945-3012"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "",
            "desc": "Dietitian, Registered",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004186111",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Jumpstart Therapy & Fitness Network",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Oakville, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2011; 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.