Connal Physical Therapy Group LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

CONNAL PHYSICAL THERAPY GROUP LLC

Practice address

6 Poquonock Ave
Suite 11
Windsor, CT 06095-2507

Phone

(860) 683-0080

Fax

(860) 683-2614

NPI assigned

Sep 15, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Alison Linda Clark

Title

Office Manager

Phone

(860) 683-0080

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1158278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386740751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 POQUONOCK AVE",
            "address_2": "SUITE 11",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952507",
            "telephone_number": "860-683-0080",
            "fax_number": "860-683-2614"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 POQUONOCK AVE",
            "address_2": "SUITE 11",
            "city": "WINDSOR",
            "state": "CT",
            "postal_code": "060952507",
            "telephone_number": "860-683-0080",
            "fax_number": "860-683-2614"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNAL PHYSICAL THERAPY GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "ALISON",
        "authorized_official_middle_name": "LINDA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "860-683-0080",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "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 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.