Donald Ferguson Hambidge, RPT

Individual provider Active NPI Physical Therapist · East Hampton, CT

NPI 1215436902 · NPPES record last updated Feb 7, 2018

Key facts

NPI
1215436902
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
008175 (CT)
Practice address
88 Clark Hill Rd
East Hampton, CT 06424-1417
Phone
(860) 334-9107
NPI assigned
Feb 7, 2018
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
008175CTMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist
Group: 193400000X SINGLE SPECIALTY GROUP
225100000X 008175 CT Yes

Addresses

Primary practice location

88 Clark Hill Rd
East Hampton, CT 06424-1417

Mailing address

88 Clark Hill Rd
East Hampton, CT 06424-1417
Phone (860) 334-9107

Other providers in East Hampton, CT

All providers in East Hampton, CT · Physical Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.