Organization Active NPI

Post Road Physical Therapy & Sports Medicine Clinic, LLC

  • Physical Therapy Clinic/Center
  • Clinton, CT
National Provider Identifier
1174704159
Registry record updated Nov 30, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
3248 Issued in CT
Legal business name
POST ROAD PHYSICAL THERAPY & SPORTS MEDICINE CLINIC, LLC
Practice address
246 E Main St
Suite 5
Clinton, CT 06413-2245
Phone
(860) 664-0366
NPI assigned
Nov 19, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 30, 2007

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

Authorized official

Name
Mr. Thomas Pare, P.T.,A.T.,C.NPI 1891791323
Title
Owner/Physical Therapist
Phone
(860) 664-0366

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 3248 CT Primary

Addresses

Primary practice location

246 E Main St
Suite 5
Clinton, CT 06413-2245

Mailing address

246 E Main St
Suite 5
Clinton, CT 06413-2245
Phone (860) 664-0366

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1195430400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196380800000",
    "number": "1174704159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 E MAIN ST",
            "address_2": "SUITE 5",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064132245",
            "telephone_number": "860-664-0366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "246 E MAIN ST",
            "address_2": "SUITE 5",
            "city": "CLINTON",
            "state": "CT",
            "postal_code": "064132245",
            "telephone_number": "860-664-0366"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POST ROAD PHYSICAL THERAPY & SPORTS MEDICINE CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-19",
        "last_updated": "2007-11-30",
        "status": "A",
        "authorized_official_last_name": "PARE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "860-664-0366",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T.,A.T.,C."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CT",
            "license": "3248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clinton, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2007; 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.