Orthopedic Associates of Middletown, PC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ORTHOPEDIC ASSOCIATES OF MIDDLETOWN, PC

Practice address

41 Brewster Rd
Level D
Bristol, CT 06010-5161

Phone

(860) 585-3040

Fax

(860) 585-3307

NPI assigned

Feb 24, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Terry F Reardon, MD

Title

Physician

Phone

(860) 347-7636

Specialties & licenses 2

Addresses

Other identifiers 1

Tax ID family

Orthopedic Associates of Middletown HMT2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Orthopedic Associates of Middletown HMT

  • Durable Medical Equipment & Medical Supplies
  • Middletown, CT
  • NPI 1366076176
  NPD tax ID

Locations

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330041600000",
    "number": "1225302136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "512 SAYBROOK RD",
            "address_2": "SUITE 100",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064574788",
            "telephone_number": "860-347-7636",
            "fax_number": "860-894-1894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41 BREWSTER RD",
            "address_2": "LEVEL D",
            "city": "BRISTOL",
            "state": "CT",
            "postal_code": "060105161",
            "telephone_number": "860-585-3040",
            "fax_number": "860-585-3307"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORTHOPEDIC ASSOCIATES OF MIDDLETOWN, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-02-24",
        "status": "A",
        "authorized_official_last_name": "REARDON",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "860-347-7636",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004186260",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Optometric Associates of Bristol, LLC
• Scott W Organ, MD
• Ruthy Orozco
• Angela A Orrico, NP
• Orthopaedic Associates of Connecticut LLC
• Melissa Ann Ortiz, LPC
• Paul David Ostroski, RN
• Dana Elizabeth Ouellette Lamontagne, IBCLC
• Julie Anne Ouellette, APRN
• Robbie Ouellette, PT

• Physical Medicine & Rehabilitation Physician in Bristol, CT
• Providers in Bristol, 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 Feb 24, 2012; 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.