Stick It Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

STICK IT PHYSICAL THERAPY

Practice address

31 Commerce Ave
Danielson, CT 06239-2804

Phone

(860) 774-7425

NPI assigned

Apr 3, 2024

Last updated

Apr 3, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jacqueline Deary, DPTNPI 1639817067

Title

Physical Therapist

Phone

(860) 315-2877

Specialties & licenses 1

Addresses

Locations

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.

• Jacqueline Deary, DPT

  • Physical Therapist
  • Fairmont, WV
  • NPI 1639817067
  NPD Authorized official

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

{
    "created_epoch": "1712102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712102400000",
    "number": "1366294316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 BALLOU ST APT 14",
            "city": "PUTNAM",
            "state": "CT",
            "postal_code": "062601252",
            "telephone_number": "860-315-2877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 COMMERCE AVE",
            "city": "DANIELSON",
            "state": "CT",
            "postal_code": "062392804",
            "telephone_number": "860-774-7425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STICK IT PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-03",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A",
        "authorized_official_last_name": "DEARY",
        "authorized_official_first_name": "JACQUELINE",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "860-315-2877",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Soule
• SRK Pharmacy LLC (Daniels Pharmacy)
• Brent Patrick Stanton, PHARMD
• Step Up Behavioral Care PC LLC
• Step Up Care PC LLC
• Gemma Soliman Stirba, OD
• Trisha Strecker, LMFT
• Susan a Rudeen LLC
• The Supported Living Group, LLC
• Mary Ann Thomen, M.A.

• Physical Therapist in Danielson, CT
• Providers in Danielson, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 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.