Elyse Landesberg, PT
Physical Therapist, Pediatrics in Waterford, Connecticut
1700499019- Practice location
- 40 Boston Post RD, Waterford, CT 06385-2424
- Phone
- 860-271-4900
- Fax
- —
- Last updated
- August 26, 2020
Elyse Landesberg is a Physical Therapist, Pediatrics based in Waterford, CT. Elyse Landesberg practices in Waterford, CT and has the professional credentials of PT. The NPI Number for Elyse Landesberg is 1700499019 and holds a License No. 4635 (CT). The current practice location address for Elyse Landesberg is 40 Boston Post RD, Waterford, CT 06385-2424 and can be reached out via phone at 860-271-4900.
Provider Profile Details
- NPI Number
- 1700499019
- Provider Name
- Elyse Landesberg
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 40 Boston Post RD, Waterford, CT 06385-2424
- Phone Number
- 860-271-4900
- Primary Taxonomy
- Physical Therapist, Pediatrics · 2251P0200X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 26, 2020
- Last Update Date
- August 26, 2020
- Certification Date
- August 26, 2020
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 40 Boston Post RD
Waterford, CT 06385-2424 - City
- Waterford
- State
- Connecticut
- Zip
- 06385-2424
- Phone Number
- 860-271-4900
Provider Business Mailing Address Details
- Address
- 9 Alewife RD
Waterford, CT 06385-3801 - City
- Waterford
- State
- CT
- Zip
- 06385-3801
- Phone Number
- 860-439-1323
License Information
- License Number
- 4635
- License State
- CT
- Taxonomy
- Physical Therapist, Pediatrics · 2251P0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Elyse Landesberg, PT?
The NPI number of Elyse Landesberg, PT is 1700499019. It was assigned on August 26, 2020 and is currently active in the NPPES registry.
What is the specialty of Elyse Landesberg, PT?
Elyse Landesberg, PT is registered under the primary taxonomy Physical Therapist, Pediatrics (code 2251P0200X), licensed in CT under license number 4635.
Where does Elyse Landesberg, PT practice?
The practice location is 40 Boston Post RD, Waterford, CT 06385-2424. The office can be reached at 860-271-4900 (phone).
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 1700499019 directly on the NPPES registry website.