Physical Medicine & Rehab Services LLC

Primary specialty

Rehabilitation Clinic/CenterTaxonomy code 261QR0400X

Legal business name

PHYSICAL MEDICINE & REHAB SERVICES LLC

Practice address

3070 Main St
Bridgeport, CT 06606-4219

Phone

(203) 371-0433

Fax

(203) 549-0919

NPI assigned

Aug 16, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Bindu R. Chennattu, MDNPI 1326161878

Title

Physiatrist

Phone

(203) 371-0433

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 1

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

• Bindu Rajeev Chennattu, MD

  • Physical Medicine & Rehabilitation Physician
  • Bridgeport, CT
  • NPI 1326161878
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1187222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187222400000",
    "number": "1316139991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3070 MAIN ST",
            "address_2": "PVT",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064219",
            "telephone_number": "203-371-0433",
            "fax_number": "203-549-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3070 MAIN ST",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066064219",
            "telephone_number": "203-371-0433",
            "fax_number": "203-549-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSICAL MEDICINE & REHAB SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-16",
        "last_updated": "2007-08-16",
        "status": "A",
        "authorized_official_last_name": "CHENNATTU",
        "authorized_official_first_name": "BINDU",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "PHYSIATRIST",
        "authorized_official_telephone_number": "203-371-0433",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jyothy Philipose, APRN
• Nicole J. Phillips, DNP
• Taylor Phillips, PA-C
• Phoenix Recovery, LLC
• Phenyo Victor Phuu, M.D.
• Victoria Piacquadio, CRNA
• Paul Joseph Piazza
• Christopher William Piccione, PA
• Rose Danielle Piccolo, CRNA
• Jose Pichardo Castillo, MD

• Rehabilitation Clinic/Center in Bridgeport, CT
• Providers in Bridgeport, CT by specialty
• Rehabilitation Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.