National Athletic Alliance, Inc.

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

005593 Issued in CT

Legal business name

NATIONAL ATHLETIC ALLIANCE, INC.

Practice address

410 Morehouse Rd
Easton, CT 06612-1638

Phone

(928) 636-9053

NPI assigned

Nov 3, 2005

Last updated

Aug 2, 2008By 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

Cynthia M Ventricelli

Title

Administrator

Phone

(928) 636-9053

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.

• Susan Eisenberg, PT

  • Physical Therapist
  • Easton, CT
  • NPI 1679564470
  NPD (past)

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

{
    "created_epoch": "1130976000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217635200000",
    "number": "1386635647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21320 N TWO HAWK RD",
            "city": "PAULDEN",
            "state": "AZ",
            "postal_code": "863344329",
            "telephone_number": "928-636-9053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 MOREHOUSE RD",
            "city": "EASTON",
            "state": "CT",
            "postal_code": "066121638",
            "telephone_number": "928-636-9053"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NATIONAL ATHLETIC ALLIANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-03",
        "last_updated": "2008-08-02",
        "status": "A",
        "authorized_official_last_name": "VENTRICELLI",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "928-636-9053"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CT",
            "license": "005593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Harry Migenes, LCSW-R
• Mindful Mental Health CT South LLC
• Mindful Resolutions Psychotherapeutic Services LLC
• MKR Therapies, LLC.
• Madeleine B Moller, L.C.S.W.
• National Athletic Health Care Alliance, P.C.
• Jacqueline Ofria, LCSW
• Gayle Paquin, LCSW
• David Bradshaw Pearlstone, M.D.
• Liane Marie Pioli, PHD

• Physical Therapy Clinic/Center in Easton, CT
• Providers in Easton, 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 2, 2008; 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.