Live Every Day LLC

Organization Active NPI Orthopedic Physical Therapist · Suffield, CT

NPI 1194023879 · NPPES record last updated Feb 6, 2020

Key facts

NPI
1194023879
Entity type
Organization (NPI type 2)
Primary specialty
Orthopedic Physical Therapist 2251X0800X
License
007740 (CT)
Legal business name
LIVE EVERY DAY LLC
Practice address
68 Bridge St
Suite 111
Suffield, CT 06078-2173
Phone
(860) 254-5190
Fax
(860) 413-2081
NPI assigned
Mar 4, 2011
Organization subpart
No

Authorized official

Name
Anthony Calendrillo
Title
Co-Owner
Phone
(860) 254-5190

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 2

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

Practitioners 8

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

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in CT, MA

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20110722000120 CT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4284839176 Receives reassigned benefits from 7 practitioners
Practice locations: Suffield, CT; Simsbury, CT
O20190103000245 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4284839176 Receives reassigned benefits from 2 practitioners
Practice locations: Springfield, MA

National Provider Directory

Tax ID family
Live Every Day LLC (3 organizations share this tax ID)

Locations

258 Middlesex St
Springfield, MA 01109
Phone (860) 413-2073

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
225100000X
Orthopedic Physical Therapist
Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP
2251X0800X 007740 CT Yes

Addresses

Primary practice location

68 Bridge St
Suite 111
Suffield, CT 06078-2173

Mailing address

68 Bridge St
Suite 111
Suffield, CT 06078-2173
Phone (860) 254-5190

Other providers in Suffield, CT

All providers in Suffield, CT · Orthopedic Physical Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.