Active NPI
Tiffany Oleary
- Physical Therapist
- Putnam, CT
National Provider Identifier
1972621167
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 006656
- Practice address
- 10 Thurber Rd
Putnam, CT 06260-2518 - Phone
- (860) 928-3539
- NPI assigned
- Mar 26, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 006656 | CT | Primary |
| Physical Therapist | 225100000X | 21536 | FL |
Addresses
Primary practice location
10 Thurber Rd
Putnam, CT 06260-2518
Mailing address
9 Highview Dr
Dayville, CT 06241-2209
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006656 | CT | MD | Clinical Social Worker |
| 21536 | FL | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1972621167",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9 HIGHVIEW DR",
"city": "DAYVILLE",
"state": "CT",
"postal_code": "062412209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10 THURBER RD",
"city": "PUTNAM",
"state": "CT",
"postal_code": "062602518",
"telephone_number": "860-928-3539"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OLEARY",
"first_name": "TIFFANY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-26",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "006656",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "21536",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Putnam, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.