Active NPI
Kathleen Lorraine Alfano, PTA
- Physical Therapy Assistant
- Brookfield, CT
National Provider Identifier
1780155069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 1272
- Practice address
- 15 Hickory Hill Rd
Brookfield, CT 06804-1512 - Phone
- (386) 299-0226
- NPI assigned
- Dec 11, 2018
- Sex
- Female
- Sole proprietor
- No
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 Therapy Assistant | 225200000X | 1272 | CT | Primary |
Addresses
Primary practice location
15 Hickory Hill Rd
Brookfield, CT 06804-1512
Mailing address
15 Hickory Hill Rd
Brookfield, CT 06804-1512
Phone (386) 299-0226
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1272 | Other | CT | PHYSICAL THERAPY |
Other names 1
- Kathleen Lorraine Snyder
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 |
|---|---|---|---|
| 1272 | CT | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1544486400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544486400000",
"number": "1780155069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15 HICKORY HILL RD",
"city": "BROOKFIELD",
"state": "CT",
"postal_code": "068041512",
"telephone_number": "386-299-0226"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 HICKORY HILL RD",
"city": "BROOKFIELD",
"state": "CT",
"postal_code": "068041512",
"telephone_number": "386-299-0226"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ALFANO",
"first_name": "KATHLEEN",
"middle_name": "LORRAINE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-12-11",
"last_updated": "2018-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CT",
"license": "1272",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPY",
"identifier": "1272",
"state": "CT"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHLEEN",
"last_name": "SNYDER",
"middle_name": "LORRAINE",
"credential": "PTA",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Brookfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.