Active NPIIndividual provider

Jeanine M Mcdermott, PTA

Physical Therapy Assistant in Wilton, Connecticut

NPI Number1104100122
Practice location
64 Danbury RD, Wilton, CT 06897-4429
Fax
800-970-5001
Last updated
October 10, 2011

Jeanine Marie Mcdermott is a Physical Therapy Assistant based in Wilton, CT. Jeanine Marie Mcdermott practices in Wilton, CT and has the professional credentials of PTA. The NPI Number for Jeanine Marie Mcdermott is 1104100122 and holds a License No. 160000224 (IL). The current practice location address for Jeanine Marie Mcdermott is 64 Danbury RD, Wilton, CT 06897-4429 and can be reached out via phone at 800-278-0332 and via fax at 800-970-5001.

Provider Profile Details

NPI Number
1104100122
Provider Name
Jeanine Marie Mcdermott
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
64 Danbury RD, Wilton, CT 06897-4429
Phone Number
800-278-0332
Fax Number
800-970-5001
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
October 10, 2011
Last Update Date
October 10, 2011
NPI Status
Active

Provider Business Practice Location Address Details

Address
64 Danbury RD
Wilton, CT 06897-4429
City
Wilton
Zip
06897-4429
Phone Number
800-278-0332
Fax Number
800-970-5001
Wilton, CT 06897Get directions →

Provider Business Mailing Address Details

Address
64 Danbury RD
Wilton, CT 06897-4429
City
Wilton
State
CT
Zip
06897-4429
Phone Number
800-278-0332
Fax Number
800-970-5001

License Information

License Number
160000224
License State
IL
Taxonomy
Physical Therapy Assistant · 225200000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Jeanine M Mcdermott, PTA?

The NPI number of Jeanine M Mcdermott, PTA is 1104100122. It was assigned on October 10, 2011 and is currently active in the NPPES registry.

What is the specialty of Jeanine M Mcdermott, PTA?

Jeanine M Mcdermott, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in IL under license number 160000224.

Where does Jeanine M Mcdermott, PTA practice?

The practice location is 64 Danbury RD, Wilton, CT 06897-4429. The office can be reached at 800-278-0332 (phone) or 800-970-5001 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1104100122 directly on the NPPES registry website.

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