Active NPI
Darilyn Sacramento Fullero, PT
- Physical Therapist
- Wilton, CT
National Provider Identifier
1710378302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 009839
- Practice address
- 44 Old Ridgefield Rd
Suite 213
Wilton, CT 06897-3055 - Phone
- (877) 407-3422
- NPI assigned
- Feb 18, 2015
- 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 | 009839 | CT | Primary |
Addresses
Primary practice location
44 Old Ridgefield Rd
Suite 213
Wilton, CT 06897-3055
Mailing address
44 Old Ridgefield Rd
Suite 213
Wilton, CT 06897-3055
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 |
|---|---|---|---|
| 9839 | CT | MD | Clinical Social Worker |
| 009839 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424217600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424217600000",
"number": "1710378302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 OLD RIDGEFIELD RD",
"address_2": "SUITE 213",
"city": "WILTON",
"state": "CT",
"postal_code": "068973055"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 OLD RIDGEFIELD RD",
"address_2": "SUITE 213",
"city": "WILTON",
"state": "CT",
"postal_code": "068973055",
"telephone_number": "877-407-3422"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FULLERO",
"first_name": "DARILYN",
"middle_name": "SACRAMENTO",
"name_prefix": "Miss",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-18",
"last_updated": "2015-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "009839",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Wilton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.