Higganum Physical Therapy, Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

004600 Issued in CT

Legal business name

HIGGANUM PHYSICAL THERAPY, INC.

Practice address

3A Candlewood Hill Road
Higganum, CT 06441-4202

Phone

(860) 345-2622

Fax

(860) 345-2626

NPI assigned

Feb 23, 2007

Organization subpart

No

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

Authorized official

Name

Michele R. Grasso, RPT

Title

Owner/Therapist

Phone

(860) 345-2622

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Paige B. Wink, P.T.

  • Physical Therapist
  • Higganum, CT
  • NPI 1669518817
  NPD (past)

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

{
    "created_epoch": "1172188800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1396871661",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 619",
            "city": "HIGGANUM",
            "state": "CT",
            "postal_code": "064410619",
            "telephone_number": "860-345-2622",
            "fax_number": "860-345-2626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3A CANDLEWOOD HILL ROAD",
            "city": "HIGGANUM",
            "state": "CT",
            "postal_code": "064414202",
            "telephone_number": "860-345-2622",
            "fax_number": "860-345-2626"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HIGGANUM PHYSICAL THERAPY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-23",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "GRASSO",
        "authorized_official_first_name": "MICHELE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "860-345-2622",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "004600",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "080004600CT05",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michele Grasso, RPT
• Haddam Volunteer Ambulance Service Inc
• Higganum Drug Center
• Higganum Pharmacy LLC (Nutmeg Pharmacy)
• Higganum Pharmacy LLC
• Julie Marie Huston, APRN
• Michael Kalinowski, M.D.
• Melissa Kovacs, LPC
• Sanna Lehtinen Oboma
• Lauren Elizabeth Linn, PH.D.

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.