Organization Active NPI

Medical Massage Rehab

  • Rehabilitation Clinic/Center
  • Rocky Hill, CT
National Provider Identifier
1114363348
Registry record updated Oct 14, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
License
6568 Issued in CT
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2013

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)CodeLicenseStatePrimary
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 Directory

Locations

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.

Verify at the official NPI Registry.