Active NPI
Kent Physical Therapy, LLP
- Physical Therapist
- Kent, CT
National Provider Identifier
1083752109
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 004720
- Legal business name
- KENT PHYSICAL THERAPY, LLP
- Practice address
- 64 Maple St
Kent, CT 06757-0034 - Phone
- (860) 927-4559
- Fax
- (860) 927-3352
- NPI assigned
- Feb 1, 2007
- 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
- Mrs. Laura Marie Deboer, PT
- Title
- Office Manager
- Phone
- (860) 927-4559
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 004720 | CT | Primary |
Addresses
Primary practice location
64 Maple St
Kent, CT 06757-0034
Mailing address
PO Box 34
Kent, CT 06757-0034
Phone (860) 927-4559
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7535921004 | Other | CT | CIGNA PROVIDER |
| P2057224 | Other | NY | OXFORD OUT OF NETWORK PRO |
| OV6316 | Other | CT | HEALTH NET PROVIDER |
| 0015901 | Other | CT | ORTHONET HEALTH NET PROVI |
| 64-04275 | Other | CT | UNITED HEALTH CARE PROVID |
| 15901 | Other | CT | CIGNA ORTHONET PROVIDER |
| 2288136 | Other | CT | AETNA PROVIDER |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170288000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1083752109",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34",
"city": "KENT",
"state": "CT",
"postal_code": "067570034",
"telephone_number": "860-927-4559",
"fax_number": "860-927-3352"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "64 MAPLE ST",
"city": "KENT",
"state": "CT",
"postal_code": "067570034",
"telephone_number": "860-927-4559",
"fax_number": "860-927-3352"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KENT PHYSICAL THERAPY, LLP",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-01",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DEBOER",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "MARIE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "860-927-4559",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "PT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CT",
"license": "004720",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA PROVIDER",
"identifier": "7535921004",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD OUT OF NETWORK PRO",
"identifier": "P2057224",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NET PROVIDER",
"identifier": "OV6316",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ORTHONET HEALTH NET PROVI",
"identifier": "0015901",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTH CARE PROVID",
"identifier": "64-04275",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA ORTHONET PROVIDER",
"identifier": "15901",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER",
"identifier": "2288136",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kent, 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.