Active NPI
Medical Massage Rehab
- Rehabilitation Clinic/Center
- Rocky Hill, CT
National Provider Identifier
1114363348
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Clinic/Center
- License
- 6568
- Legal business name
- MEDICAL MASSAGE REHAB
- Practice address
- 2049 Silas Deane Hwy
Suite 202
Rocky Hill, CT 06067-2332 - Phone
- (860) 721-0249
- NPI assigned
- May 15, 2013
- Last updated
- Oct 14, 2013
- 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
- Lawrence R Joyner, LMT. MMP
- Title
- President
- Phone
- (860) 721-0249
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Clinic/Center | 261QR0400X | 6568 | CT | Primary |
Addresses
Primary practice location
2049 Silas Deane Hwy
Suite 202
Rocky Hill, CT 06067-2332
Mailing address
2049 Silas Deane Hwy
Suite 202
Rocky Hill, CT 06067-2332
Phone (860) 721-0249
National Provider Directory
National Provider DirectoryLocations
2049 Silas Deane Hwy
Ste 202
Rocky Hill, CT 06067
Phone 8605238026 ext. 103
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1368576000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1381708800000",
"number": "1114363348",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2049 SILAS DEANE HWY",
"address_2": "SUITE 202",
"city": "ROCKY HILL",
"state": "CT",
"postal_code": "060672332",
"telephone_number": "860-721-0249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2049 SILAS DEANE HWY",
"address_2": "SUITE 202",
"city": "ROCKY HILL",
"state": "CT",
"postal_code": "060672332",
"telephone_number": "860-721-0249"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MEDICAL MASSAGE REHAB",
"organizational_subpart": "NO",
"enumeration_date": "2013-05-15",
"last_updated": "2013-10-14",
"status": "A",
"authorized_official_last_name": "JOYNER",
"authorized_official_first_name": "LAWRENCE",
"authorized_official_middle_name": "R",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "860-721-0249",
"authorized_official_credential": "LMT. MMP"
},
"taxonomies": [
{
"code": "261QR0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation",
"state": "CT",
"license": "6568",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rocky Hill, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.