Church Hill Physical Therapy Inc
Organization Active NPI Physical Therapist · Newtown, CT
NPI 1114379062 · NPPES record last updated Jul 10, 2016
Key facts
- NPI
- 1114379062
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- CHURCH HILL PHYSICAL THERAPY INC
- Practice address
- 30 Church Hill Rd
Newtown, CT 06470-1658 - Phone
- (203) 426-8449
- Fax
- (203) 426-8980
- NPI assigned
- Jul 4, 2016
- Organization subpart
- No
Authorized official
- Name
- Raymond Weitekamp
- Title
- Owner/Manager
- Phone
- (203) 426-8449
Practitioners 5
-
Kathy Dimarco, P.T.
-
Joshua Wayne Dobratz, DPT
-
Mark J. Gerace, P.T.
-
Raymond F. Weitekamp, P.T.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161010001222 | CT | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 4082902903 |
Receives reassigned benefits from 5 practitioners Practice locations: Newtown, CT; Monroe, CT |
National Provider Directory
Locations
401 Monroe Tpke
Ste 17
Monroe, CT 06468
Phone (203) 445-8691
30 Church Hill Rd
Newtown, CT 06470
Phone (203) 426-8449
30 Church Hill Rd
Ste 2
Newtown, CT 06470
Phone (203) 426-8449
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
30 Church Hill Rd
Newtown, CT 06470-1658
Mailing address
30 Church Hill Rd
Newtown, CT 06470-1658
Phone (203) 426-8449
Other providers in Newtown, CT
- Frances Ann Chappa Rivera
- Erica Chavez
- Cheryl Schwartz, LCSW, LLC
- Chiropractic Center of Newtown LLC
- Church Hill Pediatrics and Adolescents Medicine, LLC
- Roy Joseph Ciarlo
- Miluska Valeria Ciurlizza
- Katina C Clarke
- CMC Physical Therapy
- Laura Coffin
All providers in Newtown, CT · Physical Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 10, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.