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1023589751 NPI number — NICOLE MARIE DIROBERTO DPT

NPI Number: 1023589751
Health Care Provider/Practitioner: NICOLE MARIE DIROBERTO DPT

Information about “1023589751” NPI (NICOLE MARIE DIROBERTO DPT) exists in 1023589751 in HTML format HTML  |  1023589751 in plain Text format TXT  |  1023589751 in PDF (Portable Document Format) PDF  |  1023589751 in an XML format XML  formats.

NPI Number : 1023589751 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1023589751",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "DIROBERTO",
    "FirstName": "NICOLE",
    "MiddleName": "MARIE",
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "DOLAN",
    "OtherFirstName": "NICOLE",
    "OtherMiddleName": "M",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "72 PINE ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "BRISTOL",
    "MailingAddressStateName": "CT",
    "MailingAddressPostalCode": "06010-6960",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "860-585-5800",
    "MailingAddressFaxNumber": "860-585-5840",
    "FirstLinePracticeLocationAddress": "655 MAIN ST S",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SOUTHBURY",
    "PracticeLocationAddressStateName": "CT",
    "PracticeLocationAddressPostalCode": "06488-4220",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "877-407-3422",
    "PracticeLocationAddressFaxNumber": "877-407-4329",
    "EnumerationDate": "12/06/2018",
    "LastUpdateDate": "04/26/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "225100000X",
        "TaxonomyName": "Physical Therapist",
        "LicenseNumber": "12065",
        "LicenseNumberStateCode": "CT",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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