Sol Integrative Wellness, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

007350 Issued in CT

Legal business name

SOL INTEGRATIVE WELLNESS, LLC

Practice address

1353 Gold Star Hwy
Suite 106
Groton, CT 06340-2739

Phone

(860) 446-9705

Fax

(860) 326-5728

NPI assigned

Mar 9, 2017

Organization subpart

No

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

Authorized official

Name

Edmond F Cardinal Jr., RPT

Title

Owner/Physical Therapist

Phone

(401) 585-5779

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1063953156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1353 GOLD STAR HWY",
            "address_2": "SUITE 106",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063402739",
            "telephone_number": "860-446-9705",
            "fax_number": "860-326-5728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1353 GOLD STAR HWY",
            "address_2": "SUITE 106",
            "city": "GROTON",
            "state": "CT",
            "postal_code": "063402739",
            "telephone_number": "860-446-9705",
            "fax_number": "860-326-5728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOL INTEGRATIVE WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "CARDINAL",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "401-585-5779",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "007350",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathleen Confrey Smith, LCSW
• Nicole Smith, MA, LPC
• Rebecca Z Smith
• Serita M Smith, APRN
• William Anthony Smithson, PSYD
• Kristine Elizabeth Sonstrom Malowski, AU.D., PH.D.
• Chastity Soto
• Soundview Orthopaedic Assoc. LLP
• Southeast Connecticut Eye Care, LLC
• Southeastern CT Primary Care, LLC

• Physical Therapist in Groton, CT
• Providers in Groton, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; 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.