Active NPI
Select Physical Therapy
- Specialist
- Bloomfield, CT
National Provider Identifier
1033533898
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 001726
- Legal business name
- SELECT PHYSICAL THERAPY
- Practice address
- 510 Cottage Grove Rd
Bloomfield, CT 06002-3165 - Phone
- (860) 769-6690
- NPI assigned
- Feb 13, 2014
- Last updated
- Feb 13, 2014
- 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
- Jonathan Eckert
- Title
- Center Manager
- Phone
- (860) 769-6690
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 001726 | CT | Primary |
Addresses
Primary practice location
510 Cottage Grove Rd
Bloomfield, CT 06002-3165
Mailing address
510 Cottage Grove Rd
Bloomfield, CT 06002-3165
National Provider Directory
National Provider Directory- Tax ID family
- Healthsouth Sports Med
Organizations with this tax ID in the same state 5
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Physical Therapy Clinic/Center
- New Milford, CT
- NPI 1497184246
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1392249600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1392249600000",
"number": "1033533898",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "510 COTTAGE GROVE RD",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060023165"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "510 COTTAGE GROVE RD",
"city": "BLOOMFIELD",
"state": "CT",
"postal_code": "060023165",
"telephone_number": "860-769-6690"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SELECT PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2014-02-13",
"last_updated": "2014-02-13",
"status": "A",
"authorized_official_last_name": "ECKERT",
"authorized_official_first_name": "JONATHAN",
"authorized_official_title_or_position": "CENTER MANAGER",
"authorized_official_telephone_number": "860-769-6690"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "CT",
"license": "001726",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bloomfield, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.