Ellington Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

ELLINGTON PHYSICAL THERAPY LLC

Practice address

175 West Rd
Suite 6a
Ellington, CT 06029-3730

Phone

(860) 896-9275

Fax

(860) 896-9265

NPI assigned

Apr 18, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Jonathan Eckert, MSPT

Title

Owner Manager

Phone

(860) 265-2392

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1176854400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1376760892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 WEST ROAD",
            "address_2": "SUITE 6A",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "06029",
            "telephone_number": "860-896-9275",
            "fax_number": "860-896-9265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 WEST RD",
            "address_2": "SUITE 6A",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060293730",
            "telephone_number": "860-896-9275",
            "fax_number": "860-896-9265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELLINGTON PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ECKERT",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "OWNER MANAGER",
        "authorized_official_telephone_number": "860-265-2392",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Robert Dukehart, M.D.
• Loretta Lulu Eckhardt, MSPT
• Ellington Dental Associates, P.C.
• Ellington Obstetrics & Gynecology Associates, P.C.
• Ellington Pediatrics
• Ellington Public Schools
• Ellington Volunteer Amb
• Ellington Volunteer Ambulance Corps Inc
• Emotional Revival LLC
• Endodontic Specialists LLC

• Physical Therapy Clinic/Center in Ellington, CT
• Providers in Ellington, CT by specialty
• Physical Therapy Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.