NPIMap

Organization Active NPI

Eastern Rehabilitation Network

  • Physical Therapist
  • Enfield, CT
National Provider Identifier
1205086584
Registry record updated Sep 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EASTERN REHABILITATION NETWORK
Practice address
113 Elm Street
Eastern Rehabilitation Network
Enfield, CT 06082
Phone
(860) 667-5480
NPI assigned
Sep 24, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2008

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

Authorized official

Name
Rita Parisi
Title
Ceo
Phone
(860) 667-5480

Specialties & licenses 3

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

Addresses

Primary practice location

113 Elm Street
Eastern Rehabilitation Network
Enfield, CT 06082

Mailing address

181 Patricia M. Genova Drive
Eastern Rehabilitation Network
Newington, CT 06111
Phone (860) 667-5480

Other identifiers 1

IdentifierTypeStateIssuer
076536OtherCTMEDICARE PROVIDER ID NUMBER

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

NPI Registry JSON

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

{
    "created_epoch": "1222214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1222214400000",
    "number": "1205086584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 PATRICIA M. GENOVA DRIVE",
            "address_2": "EASTERN REHABILITATION NETWORK",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "06111",
            "telephone_number": "860-667-5480",
            "fax_number": "860-667-8416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 ELM STREET",
            "address_2": "EASTERN REHABILITATION NETWORK",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "06082",
            "telephone_number": "860-667-5480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN REHABILITATION NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-24",
        "last_updated": "2008-09-24",
        "status": "A",
        "authorized_official_last_name": "PARISI",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "860-667-5480"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CT",
            "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": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER ID NUMBER",
            "identifier": "076536",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2008; 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.