Advantage Physical Therapy and Sports Medicine, LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ADVANTAGE PHYSICAL THERAPY AND SPORTS MEDICINE, LLC

Practice address

340 Broad St
1St Floor
Windsor, CT 06095-3030

Phone

(860) 683-1007

Fax

(860) 683-1154

NPI assigned

Nov 21, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mary A Hunter, MBA

Title

Partner

Phone

(860) 683-1007

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Stephen W Pallotti, RPT

  • Physical Therapist
  • Windsor, CT
  • NPI 1174698997
  NPD (past)
• Mark Allen Sullivan, MBA, PT, ATC

  • Physical Therapist
  • Suffield, CT
  • NPI 1306874227
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1013082817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 BROAD ST",
            "address_2": "1ST FLOOR",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060953030",
            "telephone_number": "860-683-1007",
            "fax_number": "860-683-1154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 BROAD ST",
            "address_2": "1ST FLOOR",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060953030",
            "telephone_number": "860-683-1007",
            "fax_number": "860-683-1154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANTAGE PHYSICAL THERAPY AND SPORTS MEDICINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUNTER",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "860-683-1007",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Advanced Mr Imaging, P.C. - Queens
• Advantage Physical Therapy & Sports Medicine, LLC
• Mahnoor Aftab
• Ahmad Ali Alabbadi, DMD
• Alegria Home Care CT LLC
• Courtney Aleksandrowicz, BCBA, LBA
• Cassandra Alicea

• Physical Therapy Clinic/Center in Windsor, CT
• Providers in Windsor, CT by specialty
• Physical Therapy Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.