Valley Medical Group

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

002067 Issued in CT

Legal business name

VALLEY MEDICAL GROUP

Practice address

141 Dowd Ave
Canton, CT 06019-2401

Phone

(860) 693-6951

Fax

(860) 693-8459

NPI assigned

Jan 27, 2009

Organization subpart

No

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

Authorized official

Name

Ms. Judith Frayda Abraham, R.P.T.

Title

Physical Therapist

Phone

(860) 693-6951

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1233014400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1233014400000",
    "number": "1134367261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 DOWD AVE",
            "city": "CANTON",
            "state": "CT",
            "postal_code": "060192401",
            "telephone_number": "860-693-6951",
            "fax_number": "860-693-8459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 DOWD AVE",
            "city": "CANTON",
            "state": "CT",
            "postal_code": "060192401",
            "telephone_number": "860-693-6951",
            "fax_number": "860-693-8459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY MEDICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-27",
        "last_updated": "2009-01-27",
        "status": "A",
        "authorized_official_last_name": "ABRAHAM",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "FRAYDA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "860-693-6951",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "R.P.T."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "CT",
            "license": "017769",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "002067",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Canton, CT
• Providers in Canton, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2009; 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.