Active NPI
Linda J Pelletier, RPT
- Physical Therapist
- Old Lyme, CT
National Provider Identifier
1760615397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 002790
- Practice address
- 44 Hatchetts Hill Rd
Old Lyme, CT 06371-1512 - Phone
- (860) 434-4800
- Fax
- (860) 434-4834
- NPI assigned
- Aug 31, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 002790 | CT | Primary |
Addresses
Primary practice location
44 Hatchetts Hill Rd
Old Lyme, CT 06371-1512
Mailing address
44 Hatchetts Hill Rd
Old Lyme, CT 06371-1512
Phone (860) 434-4800
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 |
|---|---|---|---|
| 002790 | CT | MD | Acute Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Learn | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Local Education Agency (LEA)
- Old Lyme, CT
- NPI 1922123314
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251676800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251676800000",
"number": "1760615397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 HATCHETTS HILL RD",
"city": "OLD LYME",
"state": "CT",
"postal_code": "063711512",
"telephone_number": "860-434-4800",
"fax_number": "860-434-4834"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 HATCHETTS HILL RD",
"city": "OLD LYME",
"state": "CT",
"postal_code": "063711512",
"telephone_number": "860-434-4800",
"fax_number": "860-434-4834"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PELLETIER",
"first_name": "LINDA",
"middle_name": "J",
"credential": "RPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-31",
"last_updated": "2009-08-31",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "002790",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Old Lyme, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.