Individual provider Active NPI

Kelsey Caryn Falcha

  • Physical Therapy Assistant
  • Woodbridge, CT
National Provider Identifier
1992139448
Registry record updated Sep 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
001345 Issued in CT
Practice address
225 Amity Rd
Woodbridge, CT 06525-2206
Phone
(203) 387-0076
NPI assigned
Sep 1, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X 001345 CT Primary

Addresses

Primary practice location

225 Amity Rd
Woodbridge, CT 06525-2206

Mailing address

225 Amity Rd
Woodbridge, CT 06525-2206
Phone (203) 387-0076

Other names 1

  • Miss Kelsey Caryn Trammell Former name

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

LicenseStateTypeSpecialty
001345CTMDAddiction (Substance Use Disorder) Counselor

NPI Registry JSON

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

{
    "created_epoch": "1377993600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377993600000",
    "number": "1992139448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 AMITY RD",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252206",
            "telephone_number": "203-387-0076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 AMITY RD",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252206",
            "telephone_number": "203-387-0076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FALCHA",
        "first_name": "KELSEY",
        "middle_name": "CARYN",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-01",
        "last_updated": "2013-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "CT",
            "license": "001345",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KELSEY",
            "last_name": "TRAMMELL",
            "middle_name": "CARYN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Woodbridge, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 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.