Active NPI
Lynne Nohelty, PT
- Physical Therapist
- Manchester, CT
National Provider Identifier
1629061023
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 003413
- Practice address
- 155 Main St
Manchester, CT 06042-3126 - Phone
- (860) 647-1493
- Fax
- (860) 643-6709
- NPI assigned
- Aug 31, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 003413 | CT | Primary |
Addresses
Primary practice location
155 Main St
Manchester, CT 06042-3126
Mailing address
2800 Tamarack Ave
Suite 106
South Windsor, CT 06074
Phone (860) 644-5900
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003413 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1125446400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629061023",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2800 TAMARACK AVE",
"address_2": "SUITE 106",
"city": "SOUTH WINDSOR",
"state": "CT",
"postal_code": "06074",
"telephone_number": "860-644-5900",
"fax_number": "860-644-5978"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 MAIN ST",
"city": "MANCHESTER",
"state": "CT",
"postal_code": "060423126",
"telephone_number": "860-647-1493",
"fax_number": "860-643-6709"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NOHELTY",
"first_name": "LYNNE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-08-31",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "003413",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Manchester, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.