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
- Last updated
- Aug 22, 2020
- 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
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
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
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Physical Therapist
- Kent, CT
- NPI 1154438729
NPI 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": [],
"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.