Kimberly Ann Czaja, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

000124 Issued in CT

Practice address

600 Highland Avenue
Middletown, CT 06457-5151

Phone

(860) 347-3315

Fax

(860) 344-8068

NPI assigned

Nov 1, 2011

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320105600000",
    "number": "1811273071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVENUE",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064575151",
            "telephone_number": "860-347-3315",
            "fax_number": "860-344-8068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 HIGHLAND AVENUE",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064575151",
            "telephone_number": "860-347-3315",
            "fax_number": "860-344-8068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CZAJA",
        "first_name": "KIMBERLY",
        "middle_name": "ANN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-01",
        "last_updated": "2011-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CT",
            "license": "000124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Imari D Crowe, LPC
• Pam Cucinelli, RN
• Diane Cue, MD
• Ellen Currier
• Shawn Curtis, PSY.D.
• Kimberly Jean D'Amico, LCSW
• Bonnie Daley
• Claire Dalton, RPT
• Jennifer Tara Dandrea, PHD
• Molly E Daniels, DPT

• Physical Therapy Assistant in Middletown, CT
• Providers in Middletown, CT by specialty
• Physical Therapy Assistant in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; 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.