Organization Active NPI

Rifkin Physical Therapy & Lymphedema Center LLC

  • Physical Therapist
  • Prospect, CT
National Provider Identifier
1801962444
Registry record updated Mar 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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

Updated by the provider on Mar 15, 2013

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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

IdentifierTypeStateIssuer
DC5171OtherRAILROAD MEDICARE
695102OtherUNITED HEALTHCARE

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.