Physical Therapy Of Southern Connecticut, P.C. in Derby - Specialist

Physical Therapy Of Southern Connecticut, P.C. - NPI 1164585451

Physical Therapy Of Southern Connecticut, P.C. is a Specialist in Derby, Connecticut. Physical Therapy Of Southern Connecticut, P.C. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Physical Therapy Of Southern Connecticut, P.C. is 1164585451. The last update date is 2022-07-21.

Physical Therapy Of Southern Connecticut, P.C.'s current location address is 111 New Haven Ave, Derby, Connecticut. You can contact this provider via phone number 2037358336 and fax number 2037353704. The mailing address for Physical Therapy Of Southern Connecticut, P.C. is 111 New Haven Ave, Derby, Connecticut. To know further, please read the information below!

Provider Profile Detail

Provider Organization Physical Therapy Of Southern Connecticut, P.C.
Address 111 New Haven Ave, Derby, Connecticut
Phone Number 2037358336
Fax Number 2037353704
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Maude Linda
Credentials RPT
Telephone Number 2037358336

NPI Number Detail

NPI Number 1164585451
Provider Enumeration Date 2006-12-18
Last Updated Date 2022-07-21

Provider Mailing Address Detail

Address 111 New Haven Ave
City Derby
State Connecticut (CT)
Post Code 64182197
Phone Number 2037358336
Fax Number 2037353704

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
4398203 CT --
50PTSOUTHPT01 CT ANTHEM BLUE CROSS
OV1301 CT HEALTHNET
ANC1153 CT OXFORD HEALTH PLANS

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FAQs about Physical Therapy Of Southern Connecticut, P.C.

What is the unique identifier code issued to Physical Therapy Of Southern Connecticut, P.C. by the Centers for Medicare & Medicaid Services (CMS)?

The Physical Therapy Of Southern Connecticut, P.C. has been assigned the NPI (National Provider Identifier) 1164585451. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please share the complete physical location address where Physical Therapy Of Southern Connecticut, P.C.'s facilities are situated?

The facilities of Physical Therapy Of Southern Connecticut, P.C. are physically located at the following address: 111 New Haven Ave, Derby, CT, 64182197.

What is Physical Therapy Of Southern Connecticut, P.C.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Physical Therapy Of Southern Connecticut, P.C.'s specialized field of practice is Specialist, and the corresponding taxonomy code that categorizes this area of specialization is 174400000X.

When did the Physical Therapy Of Southern Connecticut, P.C. receive its 1164585451?

The Physical Therapy Of Southern Connecticut, P.C. was issued its 1164585451 on 2006-12-18, which is the date when the organization was assigned this unique identifier.

As of what date were the details pertaining to Physical Therapy Of Southern Connecticut, P.C. last refreshed?

The information related to the Physical Therapy Of Southern Connecticut, P.C., including its address, specialty, and other relevant details, was last updated on 2022-07-21.

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