Spectrum Physical Therapy Limited Partnership

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

SPECTRUM PHYSICAL THERAPY LIMITED PARTNERSHIP

Practice address

11 Freedom Way
Suite B-2
Niantic, CT 06357-1041

Phone

(860) 691-8960

Fax

(860) 691-8969

NPI assigned

Oct 20, 2010

Organization subpart

No

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

Authorized official

Name

Richard Binstein

Title

VP, Authorized Official

Phone

(713) 297-7000

Specialties & licenses 1

Addresses

Other names 1

• Southshore Physical Therapy Doing business as

Practitioners 1

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

• Tammi Marie McGunnigle, O.T.

  • Occupational Therapist
  • Niantic, CT
  • NPI 1255535506
  NPD (past)

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

{
    "created_epoch": "1287532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1428451200000",
    "number": "1215247481",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 FREEDOM WAY",
            "address_2": "SUITE B-2",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "063571041",
            "telephone_number": "860-691-8960",
            "fax_number": "860-691-8969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11 FREEDOM WAY",
            "address_2": "SUITE B-2",
            "city": "NIANTIC",
            "state": "CT",
            "postal_code": "063571041",
            "telephone_number": "860-691-8960",
            "fax_number": "860-691-8969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM PHYSICAL THERAPY LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-20",
        "last_updated": "2015-04-08",
        "status": "A",
        "authorized_official_last_name": "BINSTEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VP, AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-297-7000"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southshore Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Sellins, LCSW
• Sara B Sherwin, APRN
• Ebonee Monique Smiley, MFT-A
• Earl Smith
• Erik Sommers
• SSC Niantic Operating Company LLC
• Monica St. Amand-Santos
• Stanhospodlcsw LLC
• Brianna Suchomel, APRN
• Karen Sung, MS, CCC-SLP

• All providers in Niantic, CT
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2015; 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.