Upwards Pediatric Therapy

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

003071 Issued in CT

Legal business name

UPWARDS PEDIATRIC THERAPY

Practice address

240 Colony St
Fairfield, CT 06824-5205

Phone

(203) 292-8452

NPI assigned

Apr 18, 2012

Last updated

Apr 18, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Elizabeth Lizza, PT

Title

Owner/Physical Therapist

Phone

(203) 218-6988

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Heather Edwards, OT

  • Occupational Therapist
  • Fairfield, CT
  • NPI 1326116963
  NPD (past)

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

{
    "created_epoch": "1334707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1952668634",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 HATTERTOWN RD",
            "city": "NEWTOWN",
            "state": "CT",
            "postal_code": "064702445",
            "telephone_number": "203-218-6988",
            "fax_number": "203-459-4249"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "240 COLONY ST",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068245205",
            "telephone_number": "203-292-8452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPWARDS PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-04-18",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "LIZZA",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "203-218-6988",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007056",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": "003071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ultimate Assistance for Elders LLC
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• Unity Pharmacy LLC
• Carla Vaccarello
• Jillian Elizabeth Vainder
• Michele Soares Valente, LCSW
• Estephany Meliza Valerio-Negron, LCSW
• Amanda C Valese, LPC

• Occupational Therapist in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Occupational Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.