Active NPI
Heather D Dustin, PT
- Physical Therapist
- Wilton, CT
National Provider Identifier
1821267279
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 008083
- Practice address
- 217 Wolfpit Rd
Wilton, CT 06897-3426 - Phone
- (203) 762-8678
- Fax
- (203) 761-1570
- NPI assigned
- Feb 29, 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 Therapist | 225100000X | 008083 | CT | Primary |
Addresses
Primary practice location
217 Wolfpit Rd
Wilton, CT 06897-3426
Mailing address
141 Beacon St
Stratford, CT 06614-4219
Phone (203) 386-1321
Other names 1
- Heather Daniello
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 |
|---|---|---|---|
| 008083 | CT | MD | Dental Hygienist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1204243200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1413936000000",
"number": "1821267279",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "141 BEACON ST",
"city": "STRATFORD",
"state": "CT",
"postal_code": "066144219",
"telephone_number": "203-386-1321"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 WOLFPIT RD",
"city": "WILTON",
"state": "CT",
"postal_code": "068973426",
"telephone_number": "203-762-8678",
"fax_number": "203-761-1570"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUSTIN",
"first_name": "HEATHER",
"middle_name": "D",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-02-29",
"last_updated": "2014-10-22",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "008083",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HEATHER",
"last_name": "DANIELLO",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Wilton, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.