NPIMap

Organization Active NPI

Connecticut Orthopaedic Specialists, PC

  • Physical Therapist
  • Orange, CT
National Provider Identifier
1053533778
Registry record updated May 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CONNECTICUT ORTHOPAEDIC SPECIALISTS, PC
Practice address
464 Boston Post Rd
Orange, CT 06477-3566
Phone
(203) 799-8370
Fax
(203) 466-8527
NPI assigned
May 3, 2007
Last updated
May 5, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
CONNECTICUT ORTHOPAEDIC SPECIALISTS, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2026

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

Authorized official

Name
Susan Bader
Title
Ceo
Phone
(203) 407-3577

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X NU
Physical Therapist 225100000X NU Primary
Hand Physical Therapist 2251H1200X NU
Orthopedic Physical Therapist 2251X0800X NU
Occupational Therapist 225X00000X NU
Hand Occupational Therapist 225XH1200X NU

Addresses

Primary practice location

464 Boston Post Rd
Orange, CT 06477-3566

Mailing address

2 Barnes Industrial Rd S
Wallingford, CT 06492-2486
Phone (203) 626-0160

Other names 2

  • Connecticut Orthopaedics Sports Therapy and Rehab Other name
  • STAR Sports Therapy and Rehab Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031110000220 CT Part B Supplier - Clinic/Group Practice 7315850039 Receives reassigned benefits from 191 practitioners
35 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Westport, CT; Branford, CT; Wallingford, CT; Trumbull, CT; Shelton, CT; Orange, CT; Milford, CT; Madison, CT…

Other NPIs on the same Medicare enrollment 20

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

View all 20

National Provider Directory

National Provider Directory
Part of
CT Orthopedic Specialis

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777939200000",
    "number": "1053533778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 BARNES INDUSTRIAL RD S",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922486",
            "telephone_number": "203-626-0160",
            "fax_number": "203-294-6734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "464 BOSTON POST RD",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064773566",
            "telephone_number": "203-799-8370",
            "fax_number": "203-466-8527"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT ORTHOPAEDIC SPECIALISTS, PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CONNECTICUT ORTHOPAEDIC SPECIALISTS, PC",
        "enumeration_date": "2007-05-03",
        "last_updated": "2026-05-05",
        "certification_date": "2026-05-05",
        "status": "A",
        "authorized_official_last_name": "BADER",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-407-3577"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Connecticut Orthopaedics Sports Therapy and Rehab",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "STAR Sports Therapy and Rehab",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Orange, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.