Candlewood Physical Therapy and Fitness, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

3001 Issued in CT

Legal business name

CANDLEWOOD PHYSICAL THERAPY AND FITNESS, LLC

Practice address

88 State Route 37
Unit 2
New Fairfield, CT 06812-5036

Phone

(203) 313-3923

Fax

(203) 312-0699

NPI assigned

Oct 18, 2013

Organization subpart

No

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

Authorized official

Name

Mrs. Sandra Wilson, PTNPI 1174566814

Title

Physical Therapist Owner

Phone

(203) 313-3923

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sandra H. Wilson, P.T.

  • Physical Therapist
  • New Fairfield, CT
  • NPI 1174566814
  NPD (past) Authorized official

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

{
    "created_epoch": "1382054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1382054400000",
    "number": "1942638473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 ALEXANDRA DR",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068122731",
            "telephone_number": "203-313-3923",
            "fax_number": "203-312-0699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "88 STATE ROUTE 37",
            "address_2": "UNIT 2",
            "city": "NEW FAIRFIELD",
            "state": "CT",
            "postal_code": "068125036",
            "telephone_number": "203-313-3923",
            "fax_number": "203-312-0699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANDLEWOOD PHYSICAL THERAPY AND FITNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-18",
        "last_updated": "2013-10-18",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "SANDRA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST OWNER",
        "authorized_official_telephone_number": "203-313-3923",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "3001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate Lynn Campbell, DPT
• Candlewood Dental Care Inc
• Candlewood Drugs
• Candlewood Gentle Dental
• Candlewood Pharmacy
• Kyle Marie Cervone, BCBA
• Sandra Marion Chester
• Chiropractic Life and Wellness Center, LLC
• Brandon T Chorney, D.C.
• Connecticut Dental Arts

• Physical Therapist in New Fairfield, CT
• Providers in New Fairfield, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2013; 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.