Organization Active NPI

Elizabeth L. Upton, MSPT LLC

  • Physical Therapy Clinic/Center
  • Fairfield, CT
National Provider Identifier
1750585386
Registry record updated Apr 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
007056 Issued in CT
Legal business name
ELIZABETH L. UPTON, MSPT LLC
Practice address
303 Linwood Ave
Unit 1C
Fairfield, CT 06824-4900
Phone
(203) 218-6988
Fax
(203) 459-4249
NPI assigned
Jun 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2013

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

Authorized official

Name
Ms. Elizabeth Lawler Tynan, PT
Title
Physical Therapist
Phone
(203) 218-6988

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 007056 CT Primary

Addresses

Primary practice location

303 Linwood Ave
Unit 1C
Fairfield, CT 06824-4900

Mailing address

303 Linwood Ave
Unit 1C
Fairfield, CT 06824-4900
Phone (203) 218-6988

Other identifiers 3

IdentifierTypeStateIssuer
1750585386OtherCTGROUP NPI
C03714OtherCTGROUP PIN
1316015928OtherCTNPI

National Provider Directory

National Provider Directory

Locations

303 Linwood Ave
Ste 1C
Fairfield, CT 06824
Phone (203) 218-6988

1735 Post Rd
Ste 7
Fairfield, CT 06824
Phone (203) 256-4733

NPI Registry JSON

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366070400000",
    "number": "1750585386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 LINWOOD AVE",
            "address_2": "UNIT 1C",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068244900",
            "telephone_number": "203-218-6988",
            "fax_number": "203-459-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 LINWOOD AVE",
            "address_2": "UNIT 1C",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068244900",
            "telephone_number": "203-218-6988",
            "fax_number": "203-459-4249"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELIZABETH L. UPTON, MSPT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-14",
        "last_updated": "2013-04-16",
        "status": "A",
        "authorized_official_last_name": "TYNAN",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "LAWLER",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "203-218-6988",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CT",
            "license": "007056",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1750585386",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP PIN",
            "identifier": "C03714",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316015928",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2013; 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.