NPIMap

Organization Active NPI

Hartford Healthcare Rehabilitation Network

  • Physical Therapist
  • Newington, CT
National Provider Identifier
1174749329
Registry record updated May 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
HARTFORD HEALTHCARE REHABILITATION NETWORK
Practice address
181 Patricia M Genova Dr
Suite A200
Newington, CT 06111-1500
Phone
(860) 696-2550
Fax
(860) 696-2525
NPI assigned
Apr 17, 2007
Organization subpart
Yes
Parent organization
HARTFORD HEALTHCAREAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 8, 2017

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

Authorized official

Name
Mr. Eric Smullen, PT
Title
Executive Director
Phone
(860) 696-2550

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X CT
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X CT

Addresses

Primary practice location

181 Patricia M Genova Dr
Suite A200
Newington, CT 06111-1500

Mailing address

181 Patricia M Genova Dr
Suite A200
Newington, CT 06111-1500
Phone (860) 696-2550

Other identifiers 1

IdentifierTypeStateIssuer
004212362MedicaidCT

National Provider Directory

National Provider Directory
Tax ID family
Eastern Rehabilitation Network17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

Organizations that report the same tax identification number in the National Provider Directory.

View all 16

Locations

181 Patricia M Genova Dr
Ste A200
Newington, CT 06111
Phone (860) 696-2550

Interoperability endpoints

  • FHIR API: https://epicproxy.hhchealth.org/FHIR/api/FHIR/R4/

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494201600000",
    "number": "1174749329",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 PATRICIA M GENOVA DR",
            "address_2": "SUITE A200",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061111500",
            "telephone_number": "860-696-2550",
            "fax_number": "860-696-2525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 PATRICIA M GENOVA DR",
            "address_2": "SUITE A200",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "061111500",
            "telephone_number": "860-696-2550",
            "fax_number": "860-696-2525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HARTFORD HEALTHCARE REHABILITATION NETWORK",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HARTFORD HEALTHCARE",
        "enumeration_date": "2007-04-17",
        "last_updated": "2017-05-08",
        "status": "A",
        "authorized_official_last_name": "SMULLEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "860-696-2550",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004212362",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2017; 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.