Active NPI
Amy Louise Terray, D.C.
- Chiropractor
- Old Saybrook, CT
National Provider Identifier
1801939830
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 001340
- Practice address
- 1381 Boston Post Rd
Old Saybrook, CT 06475-1700 - Phone
- (860) 388-2199
- Fax
- (860) 395-1113
- NPI assigned
- Feb 15, 2007
- 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 |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 001340 | CT | Primary |
Addresses
Primary practice location
1381 Boston Post Rd
Old Saybrook, CT 06475-1700
Mailing address
17 Pine Tree Dr
Branford, CT 06405-3217
Phone (203) 488-4789
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001340 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1801939830",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17 PINE TREE DR",
"city": "BRANFORD",
"state": "CT",
"postal_code": "064053217",
"telephone_number": "203-488-4789",
"fax_number": "860-395-1113"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1381 BOSTON POST RD",
"city": "OLD SAYBROOK",
"state": "CT",
"postal_code": "064751700",
"telephone_number": "860-388-2199",
"fax_number": "860-395-1113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TERRAY",
"first_name": "AMY",
"middle_name": "LOUISE",
"name_prefix": "Dr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "CT",
"license": "001340",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Old Saybrook, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.