NPIMap

Integrated Rehabilitation Services, LLC

Organization Active NPI Physical Therapist · Vernon, CT

NPI 1104867951 · NPPES record last updated Feb 4, 2013

Key facts

NPI
1104867951
Entity type
Organization (NPI type 2)
Primary specialty
Physical Therapist 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
Organization subpart
No

Authorized official

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

Practitioners 172

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 172

Medicare participation

Medicare fee-for-service enrollment
Enrolled in CT

Medicare enrollment records

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

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

140 West Rd
Ste B
Ellington, CT 06029
Phone (860) 872-7500

130 Birdseye Rd
Farmington, CT 06032
Phone (860) 247-3279

586 Middle Tpke E
Manchester, CT 06040
Phone (860) 645-3810

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

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

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

148 East Ave
Ste 2M
Norwalk, CT 06851

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

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

77 W Stafford Rd
Stafford Springs, CT 06076
Phone (860) 684-6528

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

144 Morgan St
Ste 11
Stamford, CT 06905

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

230 Mountain Rd
#2
Suffield, CT 06078

230 Mountain Rd
Fl 2
Suffield, CT 06078
Phone (860) 668-9589

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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193200000X MULTI-SPECIALTY GROUP		 225100000X Yes

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Feb 4, 2013.

{
    "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

All providers in Vernon, CT · Physical Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.