NPIMap

Organization Active NPI

Integrative Physical Therapy, LLC

  • Physical Therapist
  • Guilford, CT
National Provider Identifier
1265568281
Registry record updated Nov 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
005209 Issued in CT
Legal business name
INTEGRATIVE PHYSICAL THERAPY, LLC
Practice address
37 Soundview Rd
Suite 2
Guilford, CT 06437-2916
Phone
(203) 453-4321
Fax
(203) 453-4322
NPI assigned
Feb 26, 2007
Last updated
Nov 10, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2014

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

Authorized official

Name
Mrs. Donna Lynn Segnere, PTNPI 1598891525
Title
Owner
Phone
(203) 453-4321

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 005209 CT Primary

Addresses

Primary practice location

37 Soundview Rd
Suite 2
Guilford, CT 06437-2916

Mailing address

37 Soundview Rd
Suite 2
Guilford, CT 06437-2916
Phone (203) 453-4321

National Provider Directory

National Provider Directory

Locations

18 Knollwood Dr
Clinton, CT 06413
Phone (860) 669-3547

37 Soundview Rd
Ste 2
Guilford, CT 06437
Phone (203) 453-4321

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1415577600000",
    "number": "1265568281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "37 SOUNDVIEW RD",
            "address_2": "SUITE 2",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372916",
            "telephone_number": "203-453-4321",
            "fax_number": "203-453-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "37 SOUNDVIEW RD",
            "address_2": "SUITE 2",
            "city": "GUILFORD",
            "state": "CT",
            "postal_code": "064372916",
            "telephone_number": "203-453-4321",
            "fax_number": "203-453-4322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-26",
        "last_updated": "2014-11-10",
        "status": "A",
        "authorized_official_last_name": "SEGNERE",
        "authorized_official_first_name": "DONNA",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-453-4321",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "005209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Guilford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2014; 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.