Crossroads Orthopedic Subspecialists, LLC Dba Crossroads Physical Ther

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

CROSSROADS ORTHOPEDIC SUBSPECIALISTS, LLC DBA CROSSROADS PHYSICAL THER

Practice address

196 Parkway S
Suite 202
Waterford, CT 06385-1234

Phone

(860) 447-2193

NPI assigned

Aug 8, 2006

Organization subpart

No

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

Authorized official

Name

Greg Cooper

Title

Managing Partner

Phone

(219) 365-6560

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1154995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196812800000",
    "number": "1023028834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8259 WICKER AVE",
            "city": "SAINT JOHN",
            "state": "IN",
            "postal_code": "463738878",
            "telephone_number": "219-365-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "196 PARKWAY S",
            "address_2": "SUITE 202",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851234",
            "telephone_number": "860-447-2193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSROADS ORTHOPEDIC SUBSPECIALISTS, LLC DBA CROSSROADS PHYSICAL THER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-08",
        "last_updated": "2007-12-05",
        "status": "A",
        "authorized_official_last_name": "COOPER",
        "authorized_official_first_name": "GREG",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "219-365-6560"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Claudia Cooper
• Edward William Coss Jr., M.D.
• Maryjane Couillard, RPH
• County Hearing and Balance, Inc.
• Crossroads Orthopaedic Subspecialists LLC
• Crossroads Primary Care, LLC
• Crystal Vision, LLC (Pearle Vision)
• Kate Cubelli, OT
• Tiarra Shafer Cupp, BCBA
• Curtin Motor Livery Service, Inc.

• Physical Therapy Clinic/Center in Waterford, CT
• Providers in Waterford, 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 Dec 5, 2007; 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.