Mystic Physical Therapy Associates Pc in Groton - Physical Therapy
Mystic Physical Therapy Associates Pc - NPI 1811955503
Mystic Physical Therapy Associates Pc is a Physical Therapy in Groton, Connecticut. Mystic Physical Therapy Associates Pc practices all healthcare services and medical treatments related to Physical Therapy. The NPI Number for Mystic Physical Therapy Associates Pc is 1811955503. The last update date is 2020-08-22.
Mystic Physical Therapy Associates Pc's current location address is 100 Fort Hill Rd, Groton, Connecticut. You can contact this provider via phone number 8604459433 and fax number 8604458802. The mailing address for Mystic Physical Therapy Associates Pc is 100 Fort Hill Rd, Groton, Connecticut. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mystic Physical Therapy Associates Pc |
|---|---|
| Address | 100 Fort Hill Rd, Groton, Connecticut |
| Phone Number | 8604459433 |
| Fax Number | 8604458802 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR M |
|---|---|
| Authorized Official Name | Donabedian Suren Lazarus |
| Telephone Number | 8609667226 |
NPI Number Detail
| NPI Number | 1811955503 |
|---|---|
| Provider Enumeration Date | 2006-05-02 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 100 Fort Hill Rd |
|---|---|
| City | Groton |
| State | Connecticut (CT) |
| Post Code | 6340 |
| Phone Number | 8604459433 |
| Fax Number | 8604458802 |
Provider's Primary Taxonomy Detail
| Speciality | Physical Therapy |
|---|---|
| Taxonomy | 261Qp2000X |
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Definition: An entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical a |
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What is the unique 10-digit identifier code issued to Mystic Physical Therapy Associates Pc by the Centers for Medicare & Medicaid Services?
The Mystic Physical Therapy Associates Pc has been assigned the NPI (National Provider Identifier) 1811955503 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Mystic Physical Therapy Associates Pc is physically located?
The Mystic Physical Therapy Associates Pc is physically situated at the following address: 100 Fort Hill Rd, Groton, CT, 6340.
What is Mystic Physical Therapy Associates Pc's area of expertise and its corresponding taxonomy classification?
The Mystic Physical Therapy Associates Pc's field of specialization is Physical Therapy, and it falls under the taxonomy code 261Qp2000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Mystic Physical Therapy Associates Pc receive the assignment of its 1811955503 from the Centers for Medicare & Medicaid Services?
The Mystic Physical Therapy Associates Pc was issued its 1811955503 by the Centers for Medicare & Medicaid Services on 2006-05-02.
As of what date were the details pertaining to Mystic Physical Therapy Associates Pc last refreshed?
The information related to the Mystic Physical Therapy Associates Pc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.