The Physical Therapy Institute, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004701 Issued in CT

Legal business name

THE PHYSICAL THERAPY INSTITUTE, LLC

Practice address

30 Myano Lane
Suite 22
Stamford, CT 06902

Phone

(203) 967-3200

Fax

(203) 967-3800

NPI assigned

May 7, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Louise Marie Anselmo, PT, MSPT, MSED

Title

Owner

Phone

(203) 967-3200

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1210118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457913600000",
    "number": "1104092329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 MYANO LANE",
            "address_2": "SUITE 22",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06902",
            "telephone_number": "203-967-3200",
            "fax_number": "203-967-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 MYANO LANE",
            "address_2": "SUITE 22",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06902",
            "telephone_number": "203-967-3200",
            "fax_number": "203-967-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PHYSICAL THERAPY INSTITUTE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-07",
        "last_updated": "2016-03-14",
        "status": "A",
        "authorized_official_last_name": "ANSELMO",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-967-3200",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PT, MSPT, MSED"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "004701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The New England Center for Headache
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• The Pediatric Center
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• The Stamford Hospital
• The Studio Medical Spa, PLLC
• The Trinity Transportation LLC

• Physical Therapist in Stamford, CT
• Providers in Stamford, 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 14, 2016; 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.