Pediaflex Therapy Center, Llc in Ellington - Pediatrics
Pediaflex Therapy Center, Llc - NPI 1972686533
Pediaflex Therapy Center, Llc is a Pediatrics in Ellington, Connecticut. Pediaflex Therapy Center, Llc practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Pediaflex Therapy Center, Llc is 1972686533. The last update date is 2012-02-27.
Pediaflex Therapy Center, Llc's current location address is 84 Snipsic Lake Rd, Ellington, Connecticut. You can contact this provider via phone number 8603066423 and fax number 8608756423. The mailing address for Pediaflex Therapy Center, Llc is 84 Snipsic Lake Rd, Ellington, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pediaflex Therapy Center, Llc |
|---|---|
| Address | 84 Snipsic Lake Rd, Ellington, Connecticut |
| Phone Number | 8603066423 |
| Fax Number | 8608756423 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER/PHYS |
|---|---|
| Authorized Official Name | Luginbuhl Kent Matthew |
| Credentials | PT |
| Telephone Number | 8603066423 |
NPI Number Detail
| NPI Number | 1972686533 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2012-02-27 |
Provider Mailing Address Detail
| Address | 84 Snipsic Lake Rd |
|---|---|
| City | Ellington |
| State | Connecticut (CT) |
| Post Code | 60293519 |
| Phone Number | 8603066423 |
| Fax Number | 8608756423 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 2251P0200X |
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Definition: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, |
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What is the unique identification code assigned to Pediaflex Therapy Center, Llc by the Centers for Medicare & Medicaid Services?
The Pediaflex Therapy Center, Llc has been issued the NPI (National Provider Identifier) 1972686533. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Pediaflex Therapy Center, Llc's facilities are situated?
The facilities of Pediaflex Therapy Center, Llc are physically located at the following address: 84 Snipsic Lake Rd, Ellington, CT, 60293519.
What is the Pediaflex Therapy Center, Llc's specialty and taxonomy code?
The Pediaflex Therapy Center, Llc's specialty is Pediatrics, and the corresponding taxonomy code is 2251P0200X.
On what date did the Pediaflex Therapy Center, Llc receive the assignment of its 1972686533 from the Centers for Medicare & Medicaid Services?
The Pediaflex Therapy Center, Llc was issued its 1972686533 by the Centers for Medicare & Medicaid Services on 2006-10-24.
As of what date were the details related to Pediaflex Therapy Center, Llc most recently updated or revised?
The information pertaining to Pediaflex Therapy Center, Llc, including its address, specialty, and other relevant details, was last updated or revised on 2012-02-27.