DR. TIFFANY SUDOL (NPI# 1497145536) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497145536 |
| Entity Type | Individual |
| Full Name | DR. TIFFANY SUDOL |
| Credential | PT, DPT, CPT |
| Practice Address |
1445 E Putnam Ave Ste 2 Old Greenwich CT 06870-1377 |
| Mailing Address |
160 E 48th St Apt 6n New York NY 10017-1225 |
| Practice Telephone | 2039835748 |
| Practice Fax Number | 2038694420 |
| Mailing Telephone | 9177446457 |
| Enumeration Date | 2015-01-28 |
| Last Update Date | 2015-01-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
037938-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
010303 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1445 E PUTNAM AVE STE 2 |
| City | OLD GREENWICH |
| State | CT |
| Zip Code | 06870-1377 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033654389 | Hannah Noel Smith | Social Worker | 1445 E Putnam Ave Ste 1, Old Greenwich, CT 06870 | 2016-12-22 |
| 1386191864 | Priscilla J Whittington | Personal Emergency Response Attendant | 1336 East Putnam Ave, Old Greenwich, CT 06870 | 2016-09-01 |
| 1457778193 | Advanced Ophthalmology of Connecticut LLC | Ophthalmology | 1455 East Putnam Avenue, Old Greenwich, CT 06870 | 2014-03-19 |
| 1225370422 | The Greenwich Medical Skincare and Laser Spa | Clinic/Center | 1345 E. Putnam Ave, The Greenwich Medical Skincare and Laser Spa, Old Greenwich, CT 06870 | 2013-03-26 |
| 1033430251 | Alona Altman | Speech-Language Pathologist | 27 Macarthur Dr., Old Greenwich, CT 06870 | 2010-06-22 |
| 1023344462 | Sarah Kate Leahey | Speech-Language Pathologist | 56 Havemeyer Lane, Old Greenwich, CT 06870 | 2009-10-20 |
| 1033345574 | Mary Ellen Foulds Lorefice | Social Worker | 39 Ballwood Road, Old Greenwich, CT 06870 | 2009-06-10 |
| 1215151204 | Nelly Tsivina | Acupuncturist | 13 Arcadia Rd, Suite #9, Old Greenwich, CT 06870 | 2007-04-12 |
| 1568580645 | Abilis Inc | Intermediate Care Facility, Mentally Retarded | 15 Cross Ridge, Garc, Old Greenwich, CT 06870 | 2007-03-27 |
| 1588702559 | Edward J Mamelok | Technician/Technologist | 15 Arcadia Road, Old Greenwich, CT 06870 | 2007-02-02 |
| Find all providers in zip 06870 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750684585 | Suzette Mantaring-harris | Physical Therapist | 1445 E Putnam Ave, 2nd Floor, Old Greenwich, CT 06870-1379 | 2010-12-16 |
| 1518515402 | Vincenzo Recine | Physical Therapist | 1445 E Putnam Ave, Old Greenwich, CT 06870-1379 | 2019-09-03 |
| 1982954038 | Tara C Gibson | Physical Therapist | 1445 E Putnam Ave, 2nd Floor, Old Greenwich, CT 06870-1379 | 2012-09-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245837384 | Connecticut Back Center LLC | Physical Therapist | 460 Hartford Tpke Ste B, Vernon, CT 06066-4847 | 2020-10-01 |
| 1780290882 | Jacob Chwiedz | Physical Therapist | 179 Linwood Ave Unit A-4, Colchester, CT 06415-1160 | 2020-09-23 |
| 1578174488 | Michael G Giambrone | Physical Therapist | 19 Old Kings Hwy S, Darien, CT 06820-4533 | 2020-08-13 |
| 1841809373 | Connecticut Orthopaedic Specialists, PC | Physical Therapist | 3 Liesl Ln, Branford, CT 06405-3036 | 2020-07-30 |
| 1093227902 | Nicholas A Bessette | Physical Therapist | 140 Main St Ste 4b, Middletown, CT 06457-3437 | 2017-11-01 |
| 1588051510 | Physical Therapy Arts LLC | Physical Therapist | 96 Rt. 37, New Fairfield, CT 06812 | 2015-04-16 |
| 1578954459 | Shanya Stearns | Physical Therapist | 65a Albany Tpke, Canton, CT 06019-2507 | 2015-02-12 |
| 1093115404 | Core Balance Physical Therapy, LLC | Physical Therapist | 22 Knapp St, Suite 303, Stamford, CT 06907-1700 | 2014-09-04 |
| 1730440736 | Michael James Staropoli | Physical Therapist | 1555 Post Rd E, Westport, CT 06880-5671 | 2012-06-06 |
| 1619241676 | Maria-elena Elena Mouser | Physical Therapist | 100 Wells Street Suite 1b, Connecticut Orthopedic Rehabilitation Associates, Hartford, CT 06103 | 2012-03-08 |
| Find all providers with the same taxonomy | ||||
| City | OLD GREENWICH |
| Zip Code | 06870 |
Please comment or provide details below to improve the information on DR. TIFFANY SUDOL.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.