NPIMap

Organization Active NPI

Amity Physical Therapy of Branford

  • Physical Therapist
  • Woodbridge, CT
National Provider Identifier
1235514068
Registry record updated Jul 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
00646 Issued in CT
Legal business name
AMITY PHYSICAL THERAPY OF BRANFORD
Practice address
1 Bradley Rd Ste 801
Woodbridge, CT 06525-2296
Phone
(203) 389-4593
Fax
(203) 389-4609
NPI assigned
Jul 22, 2015
Organization subpart
Yes
Parent organization
AMITY PHYSICAL THERAPYAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 23, 2015

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

Authorized official

Name
Michael Dow, MSPT
Title
Ceo/Owner
Phone
(203) 389-4593

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225100000X 00646 CT Primary

Addresses

Primary practice location

1 Bradley Rd Ste 801
Woodbridge, CT 06525-2296

Mailing address

103 N Main St
Branford, CT 06405-3034
Phone (203) 433-4683

Other names 1

  • Amity Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Amity Physical Therapy3 organizations share this tax ID, including this one
Part of
Amity Physical Therapy

Other organizations with this tax ID 2

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437609600000",
    "number": "1235514068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 N MAIN ST",
            "city": "BRANFORD",
            "state": "CT",
            "postal_code": "064053034",
            "telephone_number": "203-433-4683",
            "fax_number": "203-208-2048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 BRADLEY RD STE 801",
            "city": "WOODBRIDGE",
            "state": "CT",
            "postal_code": "065252296",
            "telephone_number": "203-389-4593",
            "fax_number": "203-389-4609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMITY PHYSICAL THERAPY OF BRANFORD",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AMITY PHYSICAL THERAPY",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-23",
        "status": "A",
        "authorized_official_last_name": "DOW",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "203-389-4593",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "00646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amity Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Woodbridge, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.