Regional Physical Manual Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

REGIONAL PHYSICAL MANUAL THERAPY

Practice address

1 Northwestern Dr
Suite 101
Bloomfield, CT 06002-3400

Phone

(860) 243-6571

Fax

(860) 243-6579

NPI assigned

Mar 2, 2007

Organization subpart

No

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

Authorized official

Name

Matthew Connell-Giammatteo

Title

Director of Operations

Phone

(860) 243-6571

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1172793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334707200000",
    "number": "1194853887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 NORTHWESTERN DR",
            "address_2": "SUITE 101",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023400",
            "telephone_number": "860-243-6571",
            "fax_number": "860-243-6579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 NORTHWESTERN DR",
            "address_2": "SUITE 101",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060023400",
            "telephone_number": "860-243-6571",
            "fax_number": "860-243-6579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REGIONAL PHYSICAL MANUAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-02",
        "last_updated": "2012-04-18",
        "status": "A",
        "authorized_official_last_name": "CONNELL-GIAMMATTEO",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "860-243-6571"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2012; 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.