NPIMap

Organization Active NPI

Eastern Rehabilitation Network

  • Physical Therapist
  • Newington, CT
National Provider Identifier
1306062559
Registry record updated Feb 27, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
EASTERN REHABILITATION NETWORK
Practice address
181 Patricia M. Genova Drive
Eastern Rehabiltation Network
Newington, CT 06111
Phone
(860) 667-5480
Fax
(860) 667-8416
NPI assigned
Apr 17, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2009

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

Authorized official

Name
Mrs. Rita Parisi
Title
Chief Executive Officier
Phone
(860) 667-5480

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X CT Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X CT
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X CT

Addresses

Primary practice location

181 Patricia M. Genova Drive
Eastern Rehabiltation Network
Newington, CT 06111

Mailing address

330 Western Boulevard Suite 101
Eastern Rehabiltation Network
Glastonbury, CT 06033
Phone (860) 657-4723

Other identifiers 1

IdentifierTypeStateIssuer
004212362MedicaidCT

National Provider Directory

National Provider Directory
Tax ID family
Eastern Rehabilitation Network17 organizations share this tax ID, including this one

Other organizations with this tax ID 16

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

View all 16

Locations

330 Western Blvd
Ste 101
Glastonbury, CT 06033
Phone (860) 654-4723

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1235692800000",
    "number": "1306062559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 WESTERN BOULEVARD SUITE 101",
            "address_2": "EASTERN REHABILTATION NETWORK",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "06033",
            "telephone_number": "860-657-4723",
            "fax_number": "860-652-4340"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 PATRICIA M. GENOVA DRIVE",
            "address_2": "EASTERN REHABILTATION NETWORK",
            "city": "NEWINGTON",
            "state": "CT",
            "postal_code": "06111",
            "telephone_number": "860-667-5480",
            "fax_number": "860-667-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN REHABILITATION NETWORK",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-17",
        "last_updated": "2009-02-27",
        "status": "A",
        "authorized_official_last_name": "PARISI",
        "authorized_official_first_name": "RITA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICIER",
        "authorized_official_telephone_number": "860-667-5480",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "CT",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "CT",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004212362",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newington, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2009; 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.