Organization Active NPI

Root Physical Therapy

  • Physical Therapy Clinic/Center
  • Marlborough, CT
National Provider Identifier
1366038200
Registry record updated Dec 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
ROOT PHYSICAL THERAPY
Practice address
33 N Main St
Marlborough, CT 06447-1309
Phone
(719) 464-7525
NPI assigned
Dec 15, 2020
Last updated
Dec 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2020

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

Authorized official

Name
Ryanne Gromatzky, DPTNPI 1871992321
Title
Owner
Phone
(719) 464-7525

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

33 N Main St
Marlborough, CT 06447-1309

Mailing address

52 Johnson Rd
Marlborough, CT 06447-1250
Phone (719) 464-7525

National Provider Directory

National Provider Directory

Locations

33 N Main St
Marlborough, CT 06447
Phone (719) 464-7525

Practitioners & affiliated clinicians

Practitioners 1

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": "1607990400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607990400000",
    "number": "1366038200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 JOHNSON RD",
            "city": "MARLBOROUGH",
            "state": "CT",
            "postal_code": "064471250",
            "telephone_number": "719-464-7525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 N MAIN ST",
            "city": "MARLBOROUGH",
            "state": "CT",
            "postal_code": "064471309",
            "telephone_number": "719-464-7525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROOT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-15",
        "last_updated": "2020-12-15",
        "certification_date": "2020-12-15",
        "status": "A",
        "authorized_official_last_name": "GROMATZKY",
        "authorized_official_first_name": "RYANNE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "719-464-7525",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2020; 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.