Active NPI
Rifkin Physical Therapy & Lymphedema Center LLC
- Physical Therapist
- Prospect, CT
National Provider Identifier
1801962444
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Legal business name
- RIFKIN PHYSICAL THERAPY & LYMPHEDEMA CENTER LLC
- Practice address
- 93 Waterbury Rd
Prospect, CT 06712 - Phone
- (203) 758-6569
- Fax
- (203) 758-0443
- NPI assigned
- Nov 27, 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. Carmelita Rifkin, MS PT CLT LANA
- Title
- Owner
- Phone
- (203) 758-6569
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | Primary | ||
| Occupational Therapist | 225X00000X |
Addresses
Primary practice location
93 Waterbury Rd
Prospect, CT 06712
Mailing address
21 Holley Lane
Prospect, CT 06712
Phone (203) 758-6569
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DC5171 | Other | RAILROAD MEDICARE | |
| 695102 | Other | UNITED HEALTHCARE |
National Provider Directory
National Provider DirectoryLocations
93 Waterbury Rd
Prospect, CT 06712
Phone (203) 756-6569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363305600000",
"number": "1801962444",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 HOLLEY LANE",
"city": "PROSPECT",
"state": "CT",
"postal_code": "06712",
"telephone_number": "203-758-6569",
"fax_number": "203-758-0443"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "93 WATERBURY RD",
"city": "PROSPECT",
"state": "CT",
"postal_code": "06712",
"telephone_number": "203-758-6569",
"fax_number": "203-758-0443"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RIFKIN PHYSICAL THERAPY & LYMPHEDEMA CENTER LLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-11-27",
"last_updated": "2013-03-15",
"status": "A",
"authorized_official_last_name": "RIFKIN",
"authorized_official_first_name": "CARMELITA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "203-758-6569",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS PT CLT LANA"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DC5171",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "695102",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Prospect, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.