Active NPI
Connecticut Physical Therapy
- Physical Therapy Clinic/Center
- West Haven, CT
National Provider Identifier
1023065216
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- CONNECTICUT PHYSICAL THERAPY
- Practice address
- 755 Campbell Ave
West Haven, CT 06516-3715 - Phone
- (203) 931-9698
- Fax
- (203) 931-4559
- NPI assigned
- May 31, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Dennis Fitzpatrick
- Title
- Chief Financial Officer
- Phone
- (610) 644-7824
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | Primary |
Addresses
Primary practice location
755 Campbell Ave
West Haven, CT 06516-3715
Mailing address
665 Philadelphia St
Attention: Susie Smeltzer
Indiana, PA 15701-3941
Phone (724) 465-3496
Other names 1
- Maloney Rehab
National Provider Directory
National Provider Directory- Tax ID family
- Connecticut Physical Therapy
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapy Clinic/Center
- Danbury, CT
- NPI 1003858341
-
- Physical Therapy Clinic/Center
- Cheshire, CT
- NPI 1144269119
Locations
665 Philadelphia St
Indiana, PA 15701
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149033600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1023065216",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "665 PHILADELPHIA ST",
"address_2": "ATTENTION: SUSIE SMELTZER",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013941",
"telephone_number": "724-465-3496",
"fax_number": "724-465-3726"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "755 CAMPBELL AVE",
"city": "WEST HAVEN",
"state": "CT",
"postal_code": "065163715",
"telephone_number": "203-931-9698",
"fax_number": "203-931-4559"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CONNECTICUT PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2006-05-31",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "FITZPATRICK",
"authorized_official_first_name": "DENNIS",
"authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
"authorized_official_telephone_number": "610-644-7824",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Maloney Rehab",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in West Haven, CT
Sources for this page
- 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.