Gina L Donato, RPT
Individual provider Active NPI Orthopedic Physical Therapist · Woodbury, CT
NPI 1740404755 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1740404755
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- 003690 (CT)
- Practice address
- 51 Sherman Hill Rd Ste A201
Woodbury, CT 06798-3694 - Phone
- (203) 263-3104
- Fax
- (203) 263-4050
- NPI assigned
- Apr 12, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 003690 | CT | MD | Adult Psychiatric/Mental Health Clinical Nurse Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Score, LLC | Past |
Accepting new patients | |
| Cornerstone Physical Therapy, LLC | Orthopedic | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 003690 | CT | Yes |
Addresses
Primary practice location
51 Sherman Hill Rd Ste A201
Woodbury, CT 06798-3694
Mailing address
96 Augusta St
Oakville, CT 06779-1022
Phone (860) 945-3224
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003690 | Other | CT | PHYSICAL THERAPY LICENSE |
Other providers in Woodbury, CT
- Ellen Cozan Tinios
- Eva Davidson
- Judith Davidson
- Raymond Michael Demers Jr.
- Suzanne Derosa
- Matthew Donovan
- Rachel Beth Dorfman
- Douglas Thompson, LLC
- Dr. Marina Zatman, MD PC
- David Michael Dressler
All providers in Woodbury, CT · Orthopedic Physical Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.