Sportsmed PT of Connecticut PLLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

SPORTSMED PT OF CONNECTICUT PLLC

Practice address

499B Westport Ave
Norwalk, CT 06851-4411

Phone

(475) 470-0400

NPI assigned

May 6, 2024

Organization subpart

No

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

Authorized official

Name

Carol Azar, RN

Title

VP, RCM

Phone

(201) 857-0527

Specialties & licenses 1

Addresses

Tax ID family

Sportsmed PT of CT PLLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Sportsmed PT of Connecticut PLLC

  dba SportsMed Physical Therapy

  • Physical Therapist
  • Bridgeport, CT
  • NPI 1609441534
  NPD tax ID
• Sportsmed PT of Connecticut, PLLC

  dba SportsMed Physical Therapy

  • Acupuncturist
  • Norwalk, CT
  • NPI 1356198311
  NPD tax ID

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1215784251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 HARRISTOWN RD STE 304",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523321",
            "telephone_number": "201-857-0527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499B WESTPORT AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514411",
            "telephone_number": "475-470-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTSMED PT OF CONNECTICUT PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-04-26",
        "status": "A",
        "authorized_official_last_name": "AZAR",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "VP, RCM",
        "authorized_official_telephone_number": "201-857-0527",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spiralpath Healing Center, LLC.
• Spirit Clinic LLC (Spirit Clinic)
• Alicia Lamitie Spiro, PT
• Sportsmed Acupuncture of Connecticut (SportsMed Physical Therapy)
• Sportsmed Chiropractic of Connecticut, PLLC (SportsMed Physical Therapy)
• Sportsmed PT of Connecticut, PLLC (SportsMed Physical Therapy)
• Joseph F Sproviero, MD PHD
• Savita Sreejith, AGPCNP-BC
• Aparna Srinivasan, MBBS, PHD
• Mary E St. Juste-Prosper

• Chiropractor in Norwalk, CT
• Providers in Norwalk, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.