Active NPI
Joanne Eichner, PTA
- Physical Therapy Assistant
- Hartford, CT
National Provider Identifier
1811156896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 000167
- Practice address
- 85 Seymour Street
Hartford, CT 06106 - Phone
- (860) 545-5130
- Fax
- (860) 545-1772
- NPI assigned
- Jun 5, 2008
- 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 | 000167 | CT | Primary |
Addresses
Primary practice location
85 Seymour Street
Hartford, CT 06106
Mailing address
181 Patricia M Genova Drive
Eastern Rehabilitation Network
Newington, CT 06111
Phone (860) 667-5480
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 |
|---|---|---|---|
| 000167 | CT | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1212624000000",
"number": "1811156896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "181 PATRICIA M GENOVA DRIVE",
"address_2": "EASTERN REHABILITATION NETWORK",
"city": "NEWINGTON",
"state": "CT",
"postal_code": "06111",
"telephone_number": "860-667-5480",
"fax_number": "860-667-8416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "85 SEYMOUR STREET",
"city": "HARTFORD",
"state": "CT",
"postal_code": "06106",
"telephone_number": "860-545-5130",
"fax_number": "860-545-1772"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EICHNER",
"first_name": "JOANNE",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-05",
"last_updated": "2008-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CT",
"license": "000167",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hartford, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.