Organization Active NPI

Woodbury Physical Therapy LLC

  • Physical Medicine & Rehabilitation Physician
  • Woodbury, CT
National Provider Identifier
1770562720
Registry record updated Oct 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
001680 Issued in CT
Legal business name
WOODBURY PHYSICAL THERAPY LLC
Practice address
264 Main St S
Ste 200
Woodbury, CT 06798
Phone
(203) 263-0002
Fax
(203) 263-0090
NPI assigned
Jan 10, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2007

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

Authorized official

Name
Mrs. Maureen Munson Bette
Title
RPT
Phone
(203) 263-0002

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208100000X 001680 CT Primary

Addresses

Primary practice location

264 Main St S
Ste 200
Woodbury, CT 06798

Mailing address

264 Main St S
Ste 200
Woodbury, CT 06798
Phone (203) 263-0002

National Provider Directory

National Provider Directory

Locations

264 Main St S
Ste 200
Woodbury, CT 06798
Phone (203) 263-0002

NPI Registry JSON

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

{
    "created_epoch": "1136851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191456000000",
    "number": "1770562720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "264 MAIN ST S",
            "address_2": "STE 200",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "06798",
            "telephone_number": "203-263-0002",
            "fax_number": "203-263-0090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "264 MAIN ST S",
            "address_2": "STE 200",
            "city": "WOODBURY",
            "state": "CT",
            "postal_code": "06798",
            "telephone_number": "203-263-0002",
            "fax_number": "203-263-0090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WOODBURY PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-10",
        "last_updated": "2007-10-04",
        "status": "A",
        "authorized_official_last_name": "MUNSON BETTE",
        "authorized_official_first_name": "MAUREEN",
        "authorized_official_title_or_position": "RPT",
        "authorized_official_telephone_number": "203-263-0002",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CT",
            "license": "001680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodbury, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.

Verify at the official NPI Registry.