NPIMap

Organization Active NPI

Carbone Chiropractic Center Dba Southside Physical Therapy LLC

  • Physical Therapist
  • Wethersfield, CT
National Provider Identifier
1235558461
Registry record updated Jan 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
CARBONE CHIROPRACTIC CENTER DBA SOUTHSIDE PHYSICAL THERAPY LLC
Practice address
82-86 Wolcott Hill Rd
Suite 102
Wethersfield, CT 06109-1252
Phone
(860) 436-3151
Fax
(860) 436-3277
NPI assigned
Apr 15, 2014
Organization subpart
Yes
Parent organization
CARBONE CHIROPRACTIC CENTER LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 26, 2021

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

Authorized official

Name
Guy Carbone, DCNPI 1518185016
Title
Owner
Phone
(860) 748-9090

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

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

Addresses

Primary practice location

82-86 Wolcott Hill Rd
Suite 102
Wethersfield, CT 06109-1252

Mailing address

82-86 Wolcott Hill Rd
Suite 102
Wethersfield, CT 06109-1252
Phone (860) 436-3151

National Provider Directory

National Provider Directory
Part of
Carbone Chiropractic Center

Member of 1

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

Locations

82-86 Wolcott Hill Rd
Ste 102
Wethersfield, CT 06109
Phone (860) 436-2252

82-86 Wolcott Hill Rd
#201
Wethersfield, CT 06109
Phone (860) 436-3151

82-86 Wolcott Hill Rd
#R
Wethersfield, CT 06109
Phone (860) 436-3151

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.

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1397520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611619200000",
    "number": "1235558461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "82-86 WOLCOTT HILL RD",
            "address_2": "SUITE 102",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091252",
            "telephone_number": "860-436-3151",
            "fax_number": "860-436-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "82-86 WOLCOTT HILL RD",
            "address_2": "SUITE 102",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061091252",
            "telephone_number": "860-436-3151",
            "fax_number": "860-436-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARBONE CHIROPRACTIC CENTER DBA SOUTHSIDE PHYSICAL THERAPY LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CARBONE CHIROPRACTIC CENTER LLC",
        "enumeration_date": "2014-04-15",
        "last_updated": "2021-01-26",
        "certification_date": "2021-01-26",
        "status": "A",
        "authorized_official_last_name": "CARBONE",
        "authorized_official_first_name": "GUY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-748-9090",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wethersfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2021; 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.