Spine & Sports Center of Connecticut

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

SPINE & SPORTS CENTER OF CONNECTICUT

Practice address

500 Chase Pkwy
500 Chase Parkway
Waterbury, CT 06708-3346

Phone

(203) 573-1167

Fax

(203) 573-1272

NPI assigned

May 3, 2006

Organization subpart

No

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

Authorized official

Name

David C. Ness

Title

Administrator

Phone

(203) 573-1423

Specialties & licenses 1

Addresses

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Neurosurgery Orthopaedics & Spine Specialists PC

  • Neurological Surgery Physician
  • Waterbury, CT
  • NPI 1831359215

  Member Of

  NPD member

Practitioners 1

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

• Glenn G. Taylor, M.D.

  • Orthopaedic Surgery Physician
  • Waterbury, CT
  • NPI 1548292188
  NPD (past)

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

{
    "created_epoch": "1146614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1225096704",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 CHASE PKWY",
            "address_2": "500 CHASE PARKWAY",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083346",
            "telephone_number": "203-573-1167",
            "fax_number": "203-573-1272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 CHASE PKWY",
            "address_2": "500 CHASE PARKWAY",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083346",
            "telephone_number": "203-573-1167",
            "fax_number": "203-573-1272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPINE & SPORTS CENTER OF CONNECTICUT",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "NESS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "203-573-1423"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spectra Dental, LLC
• Spectrum Professional Services LLC
• Speech and Language LLC
• James Dunbar Speer, M.DIV
• Kathryn Spiess, CNM
• Martin Joseph Spinella, M.D.
• Rosalie Anne Spinella, LADC , CADC
• Tamara A Spivey, LMSW
• Lisa E. Spooner, PT
• Christta Sprott, APRN

• Physical Medicine & Rehabilitation Physician in Waterbury, CT
• Providers in Waterbury, CT by specialty
• Physical Medicine & Rehabilitation Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.