Organization Active NPI

Sportsmed PT of Connecticut, PLLC

Doing business as SportsMed Physical Therapy

  • Acupuncturist
  • Norwalk, CT
National Provider Identifier
1356198311
Registry record updated May 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
AcupuncturistTaxonomy code 171100000X
Legal business name
SPORTSMED PT OF CONNECTICUT, PLLC
Doing business as
SportsMed Physical Therapy
Practice address
499B Westport Ave
Norwalk, CT 06851-4411
Phone
(973) 767-2880
NPI assigned
May 6, 2024
Organization subpart
Yes
Parent organization
SPORTSMED PT OF CONNECTICUT, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 6, 2024

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

Authorized official

Name
Mrs. Carol Azar
Title
VP, RCM
Phone
(201) 857-0527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
AcupuncturistGroup: 193200000X MULTI-SPECIALTY GROUP 171100000X Primary

Addresses

Primary practice location

499B Westport Ave
Norwalk, CT 06851-4411

Mailing address

266 Harristown Rd Ste 304
Glen Rock, NJ 07452-3321
Phone (973) 767-2880

Other names 1

  • SportsMed Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Sportsmed PT of CT PLLC3 organizations share this tax ID, including this one
Part of
Sportsmed PT of CT PLLC

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1714953600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714953600000",
    "number": "1356198311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 HARRISTOWN RD STE 304",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523321",
            "telephone_number": "973-767-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499B WESTPORT AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514411",
            "telephone_number": "973-767-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTSMED PT OF CONNECTICUT, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPORTSMED PT OF CONNECTICUT, PLLC",
        "enumeration_date": "2024-05-06",
        "last_updated": "2024-05-06",
        "certification_date": "2024-05-06",
        "status": "A",
        "authorized_official_last_name": "AZAR",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "VP, RCM",
        "authorized_official_telephone_number": "201-857-0527",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SportsMed Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2024; 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.