Trepsicore LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

004526 Issued in CT

Legal business name

TREPSICORE LLC

Practice address

161 Manchester Rd
Glastonbury, CT 06033-3402

Phone

(860) 652-8131

Fax

(860) 812-2001

NPI assigned

Mar 26, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Anna Chavez, BS, PT

Title

Physical Therapist

Phone

(860) 918-1542

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192579200000",
    "number": "1376661660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "161 MANCHESTER RD",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060333402",
            "telephone_number": "860-652-8131",
            "fax_number": "860-812-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "161 MANCHESTER RD",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060333402",
            "telephone_number": "860-652-8131",
            "fax_number": "860-812-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREPSICORE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-26",
        "last_updated": "2007-10-17",
        "status": "A",
        "authorized_official_last_name": "CHAVEZ",
        "authorized_official_first_name": "ANNA",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "860-918-1542",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS, PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CT",
            "license": "004526",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "004526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2007; 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.