NPIMap

Organization Active NPI

Integrated Rehabilitation Services, LLC

  • Physical Therapist
  • Vernon, CT
National Provider Identifier
1104867951
Registry record updated Feb 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
INTEGRATED REHABILITATION SERVICES, LLC
Practice address
435 Hartford TPK
Suite U
Vernon, CT 06066
Phone
(860) 875-8272
Fax
(860) 875-0804
NPI assigned
Jun 10, 2006
Last updated
Feb 4, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2013

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

Authorized official

Name
Julie T Paolino, MS, PT, MCTA, ATCNPI 1477586519
Title
Managing Partner
Phone
(860) 870-8272

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

435 Hartford TPK
Suite U
Vernon, CT 06066

Mailing address

435 Hartford Tpke
Suite U
Vernon, CT 06066-4852
Phone (860) 979-1600

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040108000610 CT Part B Supplier - Clinic/Group Practice 9931008851 Receives reassigned benefits from 35 practitioners
Practice locations: Vernon, CT; Tolland, CT; Suffield, CT; Stafford Springs, CT; South Windsor, CT; Manchester, CT; Farmington, CT; Enfield, CT…

National Provider Directory

National Provider Directory

Locations

693 Bloomfield Ave
Ste 201
Bloomfield, CT 06002
Phone (860) 242-8422

12 Main St
Ste 7
Ellington, CT 06029
Phone (860) 572-7711

199 Elm St
New Canaan, CT 06840
Phone (203) 966-3076

148 East Ave
Ste 2F
Norwalk, CT 06851
Phone (203) 852-1822

148 East Ave
Ste 2M
Norwalk, CT 06851

444 Westport Ave
Ste 2
Norwalk, CT 06851
Phone (203) 852-1822

103 E Main St
Plainville, CT 06062
Phone (860) 517-8885

2 Corporate Dr
Ste 233
Shelton, CT 06484
Phone (203) 924-5370

15 Morgan Farms Dr
Ste 3
South Windsor, CT 06074
Phone (860) 644-2006

58 W Stafford Rd
#A
Stafford Springs, CT 06076
Phone (860) 684-6528

144 Morgan St
Stamford, CT 06905
Phone (203) 324-9525

144 Morgan St
Ste 11
Stamford, CT 06905

230 Mountain Rd
#2
Suffield, CT 06078

9B Fieldstone Cmns
Tolland, CT 06084
Phone (860) 870-9800

7 Cambridge Dr
Trumbull, CT 06611
Phone (203) 396-8042

195 Danbury Rd
#B
Wilton, CT 06897
Phone (203) 834-8884

6 Poquonock Ave
Windsor, CT 06095
Phone (860) 683-0080

Practitioners & affiliated clinicians

Practitioners 173

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.

View all 173

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1359936000000",
    "number": "1104867951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 HARTFORD TPKE",
            "address_2": "SUITE U",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "060664852",
            "telephone_number": "860-979-1600",
            "fax_number": "203-866-3014"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 HARTFORD TPK",
            "address_2": "SUITE U",
            "city": "VERNON",
            "state": "CT",
            "postal_code": "06066",
            "telephone_number": "860-875-8272",
            "fax_number": "860-875-0804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED REHABILITATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-10",
        "last_updated": "2013-02-04",
        "status": "A",
        "authorized_official_last_name": "PAOLINO",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "860-870-8272",
        "authorized_official_credential": "MS, PT, MCTA, ATC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vernon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2013; 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.