Active NPI
Michaela Lachance, PT, DPT
- Physical Therapist
- West Haven, CT
National Provider Identifier
1821649203
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 012315
- Practice address
- 95 Campbell Ave
West Haven, CT 06516 - Phone
- (203) 932-5711
- NPI assigned
- Sep 26, 2019
- Last updated
- Sep 26, 2019
- 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 | 012315 | CT | Primary |
Addresses
Primary practice location
95 Campbell Ave
West Haven, CT 06516
Mailing address
50 Stuart Ave Apt 9
Norwalk, CT 06850-3570
Phone (607) 267-3812
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 |
|---|---|---|---|
| 012315 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569456000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1821649203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "50 STUART AVE APT 9",
"city": "NORWALK",
"state": "CT",
"postal_code": "068503570",
"telephone_number": "607-267-3812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "95 CAMPBELL AVE",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "06516",
"telephone_number": "203-932-5711"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LACHANCE",
"first_name": "MICHAELA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-26",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "012315",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in West Haven, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.