Active NPI
Woodbury Physical Therapy LLC
- Physical Medicine & Rehabilitation Physician
- Woodbury, CT
National Provider Identifier
1770562720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 001680
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Medicine & Rehabilitation Physician | 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 DirectoryLocations
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.