Advanced Therapy and Performance LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

ADVANCED THERAPY AND PERFORMANCE LLC

Practice address

75 Selleck Street
Stamford, CT 06902

Phone

(203) 614-9635

NPI assigned

Mar 29, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Joshua Ken Heenan, I.M.DNPI 1427509199

Title

President

Phone

(203) 614-9635

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Joshua Heenan, LAC

  • Acupuncturist
  • Stamford, CT
  • NPI 1427509199
  NPD (past) Authorized official
• Kevin Nelson Murat, DC, ATC

  • Athletic Trainer
  • Stamford, CT
  • NPI 1194223057
  NPD (past)

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

{
    "created_epoch": "1459209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459209600000",
    "number": "1235592247",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 SELLECK STREET",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06902",
            "telephone_number": "203-614-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 SELLECK STREET",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06902",
            "telephone_number": "203-614-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADVANCED THERAPY AND PERFORMANCE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-29",
        "last_updated": "2016-03-29",
        "status": "A",
        "authorized_official_last_name": "HEENAN",
        "authorized_official_first_name": "JOSHUA",
        "authorized_official_middle_name": "KEN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-614-9635",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "I.M.D"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Advanced Medical and Cosmetic Dermatology, Inc
• Advanced Minimally Invasive Surgery, LLC
• Advanced Physical Therapy Center of Stamford, LLC
• Advanced Physical Therapy Center, Inc.
• Advanced Spine and Pain Care, LLC
• Advanced Wellness and Musculoskeletal Pain Clinic PLLC
• Kamilla Agababayeva
• Raghav Aggarwal, MD
• Cynthia Elizabeth Aguilar Wood, LCSW
• Victor Hugo Aguilar Jr., LCSW

• Physical Medicine & Rehabilitation Physician in Stamford, CT
• Providers in Stamford, 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 Mar 29, 2016; 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.