Individual provider Active NPI

Todd Lichtfus, M.S., P.T., A.T.C.

  • Physical Therapist
  • North Haven, CT
National Provider Identifier
1972503662
Registry record updated Oct 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
007373 Issued in CT
Practice address
202 State St
North Haven, CT 06473-2207
Phone
(203) 239-4274
Fax
(203) 239-4290
NPI assigned
Jul 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 007373 CT Primary

Addresses

Primary practice location

202 State St
North Haven, CT 06473-2207

Mailing address

202 State St
North Haven, CT 06473-2207
Phone (203) 239-4274

Other identifiers 1

IdentifierTypeStateIssuer
004239746MedicaidCT

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
007373CTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Wilton Physical Therapy, LLC PastSince Mar 19, 2007 Accepting new patients
Comprehensive Orthopedics & Musculoskeletal Care LLC Past Accepting new patients
Montowese Chiropractic Center LLC Past Accepting new patients
Quinnipiac Physical Therapy & Sports Medicine PC Physical Therapist PastSince Oct 1, 2012 Accepting new patients

Organizations & group practices 4

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

NPI Registry JSON

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350000000000",
    "number": "1972503662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 STATE ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732207",
            "telephone_number": "203-239-4274",
            "fax_number": "203-239-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 STATE ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732207",
            "telephone_number": "203-239-4274",
            "fax_number": "203-239-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LICHTFUS",
        "first_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "M.S., P.T., A.T.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-26",
        "last_updated": "2012-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007373",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004239746",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.