Provider Demographics
NPI:1780297036
Name:LEVINS, KARLEE ROSE (PT, DPT)
Entity type:Individual
Prefix:
First Name:KARLEE
Middle Name:ROSE
Last Name:LEVINS
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:KARLEE
Other - Middle Name:ROSE
Other - Last Name:PICARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:30 DAY ST APT 402E
Mailing Address - Street 2:
Mailing Address - City:NORWALK
Mailing Address - State:CT
Mailing Address - Zip Code:06854-4971
Mailing Address - Country:US
Mailing Address - Phone:860-543-4112
Mailing Address - Fax:
Practice Address - Street 1:300 POST RD W
Practice Address - Street 2:
Practice Address - City:WESTPORT
Practice Address - State:CT
Practice Address - Zip Code:06880-4703
Practice Address - Country:US
Practice Address - Phone:203-226-2493
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-08-26
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT12752225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist