Elizabeth Angelicola

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

63002074 Issued in CT

Practice address

2154 E Main St
Waterbury, CT 06705-2608

Phone

(293) 575-0516

Fax

(203) 575-0682

NPI assigned

Jan 30, 2020

Last updated

Jan 30, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Access Rehab Centers, LLC

  • Rehabilitation Clinic/Center
  • Waterbury, CT
  • NPI 1033293691

  Physical Therapy Assistant

  NPD

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

{
    "created_epoch": "1580342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1580342400000",
    "number": "1831720648",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 TOMPKINS STREET",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067081458",
            "telephone_number": "203-598-0600",
            "fax_number": "203-598-3300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2154 E MAIN ST",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067052608",
            "telephone_number": "293-575-0516",
            "fax_number": "203-575-0682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANGELICOLA",
        "first_name": "ELIZABETH",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-30",
        "last_updated": "2020-01-30",
        "certification_date": "2020-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CT",
            "license": "63002074",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gloria Anez
• Jessica Marie Angal, OTR/L
• Angel Care Companions LLC
• Angel in Law LLC
• Angelic Home Care LLC (Angelic Home Care)
• Angelsonmission Health Care LLC
• Annie C. Courtney Foundation, Inc.
• Daniyal Ahmed Ansari, M.D
• Ehsan Ansari, M.D.
• Anthony Cusano

• Physical Therapy Assistant in Waterbury, CT
• Providers in Waterbury, 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 Jan 30, 2020; 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.