Active NPI
Rebound Physical Therapy and Performance
- Physical Therapy Assistant
- Berlin, CT
National Provider Identifier
1265166623
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- Legal business name
- REBOUND PHYSICAL THERAPY AND PERFORMANCE
- Practice address
- 598 Deming Rd Ste a
Berlin, CT 06037-1659 - Phone
- (203) 601-7446
- NPI assigned
- Jul 12, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Evan Lafemina
- Title
- Billing Manager
- Phone
- (718) 717-8068
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | Primary |
Addresses
Primary practice location
598 Deming Rd Ste a
Berlin, CT 06037-1659
Mailing address
109 Pondview Dr
Southington, CT 06489-3948
Phone (203) 601-7446
National Provider Directory
National Provider DirectoryLocations
598 Deming Rd
Ste A
Berlin, CT 06037
Phone (203) 601-7446
Practitioners & affiliated clinicians
Practitioners 1
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": "1657584000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1657584000000",
"number": "1265166623",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "109 PONDVIEW DR",
"city": "SOUTHINGTON",
"state": "CT",
"postal_code": "064893948",
"telephone_number": "203-601-7446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "598 DEMING RD STE A",
"city": "BERLIN",
"state": "CT",
"postal_code": "060371659",
"telephone_number": "203-601-7446"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REBOUND PHYSICAL THERAPY AND PERFORMANCE",
"organizational_subpart": "NO",
"enumeration_date": "2022-07-12",
"last_updated": "2022-07-12",
"certification_date": "2022-07-12",
"status": "A",
"authorized_official_last_name": "LAFEMINA",
"authorized_official_first_name": "EVAN",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "718-717-8068"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Berlin, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.