Stephen J Connelly in Fort Wayne - Physical Therapist
Stephen J Connelly - NPI 1124194931
Stephen J Connelly is a Physical Therapist in Fort Wayne, Indiana. Stephen J Connelly practices all healthcare services and medical treatments related to Physical Therapist. The NPI Number for Stephen J Connelly is 1124194931. The last update date is 2010-04-08.
Stephen J Connelly's current location address is 2516 E. Dupont Rd, Fort Wayne, Indiana. You can contact this provider via phone number 2604904800 and fax number 2604978399. The mailing address for Stephen J Connelly is 2516 E. Dupont Rd, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen J Connelly |
|---|---|
| Address | 2516 E. Dupont Rd, Fort Wayne, Indiana |
| Phone Number | 2604904800 |
| Fax Number | 2604978399 |
| Sole Proprietor | N |
| Credentials | PT |
NPI Number Detail
| NPI Number | 1124194931 |
|---|---|
| Provider Enumeration Date | 2006-11-27 |
| Last Updated Date | 2010-04-08 |
Provider Mailing Address Detail
| Address | 2516 E. Dupont Rd |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468252097 |
| Phone Number | 2604904800 |
| Fax Number | 2604978399 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapist |
|---|---|
| Taxonomy | 225100000X |
| Licence No | 05005430A |
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Definition: Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and per |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| N235814 | IN | HARMONY | |
| 156546 | IN | MEDICARE | |
| 197330 | IN | ANTHEM BCBS | |
| 4423623 | IN | AETNA | |
| 1424 | IN | PHP | |
| 200362960A | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Stephen J Connelly by the Centers for Medicare & Medicaid Services (CMS)?
The Stephen J Connelly has been assigned the NPI (National Provider Identifier) 1124194931. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Stephen J Connelly?
The Stephen J Connelly is physically situated at 2516 E. Dupont Rd, in the city of Fort Wayne, state of IN, with the postal code 468252097.
What is Stephen J Connelly's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Stephen J Connelly is Physical Therapist, and the corresponding taxonomy classification code for this specialized field is 225100000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124194931 to Stephen J Connelly?
The Centers for Medicare & Medicaid Services originally issued the 1124194931 to Stephen J Connelly on 2006-11-27.
As of what date was the information regarding Stephen J Connelly, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Stephen J Connelly, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2010-04-08.