Natalee Giselle Cifuentes, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

011054 Issued in CT

Practice address

113 Labby Rd
North Grosvenordale, CT 06255-1247

Phone

(860) 497-0239

Fax

(860) 497-0047

NPI assigned

Aug 4, 2019

Last updated

Aug 4, 2019By 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)

Enrolled

State licenses

Practice roles

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.

• Outpatient Mobile

  • Occupational Therapist
  • North Grosvenordale, CT
  • NPI 1144793316

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1564876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564876800000",
    "number": "1902451222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 LABBY RD",
            "city": "NORTH GROSVENORDALE",
            "state": "CT",
            "postal_code": "062551247",
            "telephone_number": "860-497-0239",
            "fax_number": "860-497-0047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 LABBY RD",
            "city": "NORTH GROSVENORDALE",
            "state": "CT",
            "postal_code": "062551247",
            "telephone_number": "860-497-0239",
            "fax_number": "860-497-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CIFUENTES",
        "first_name": "NATALEE",
        "middle_name": "GISELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-04",
        "last_updated": "2019-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "011054",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Noah Demers Aubin
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• Kailey Bennett, COTA/L
• Nita Chatterjee, M.D.
• Tanya Lee Clark, OTD, OTR/L
• Lisa Kim Diamond
• Kristine Marie Dipasquale, COTA
• Beth Ann Flannery Spillane, PT
• Melissa Ann Gobin-Borski, LCSW

• Physical Therapist in North Grosvenordale, CT
• Providers in North Grosvenordale, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 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.

Verify at the official NPI Registry.