Organization Active NPI

Faulkner Physical Therapy Group, Inc.

  • Physical Therapist
  • Wallingford, CT
National Provider Identifier
1396967725
Registry record updated Jul 16, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
FAULKNER PHYSICAL THERAPY GROUP, INC.
Practice address
101 N Plains Industrial Rd
Building B
Wallingford, CT 06492-2360
Phone
(203) 265-0018
Fax
(203) 265-4368
NPI assigned
May 3, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2013

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

Authorized official

Name
Chimene Kruger
Title
Office Manager
Phone
(203) 265-0018

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

101 N Plains Industrial Rd
Building B
Wallingford, CT 06492-2360

Mailing address

101 N Plains Industrial Rd
Building B
Wallingford, CT 06492-2360
Phone (203) 265-0018

National Provider Directory

National Provider Directory

Locations

101 N Plains Industrial Rd
Bldg B
Wallingford, CT 06492
Phone (203) 265-0018

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373932800000",
    "number": "1396967725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N PLAINS INDUSTRIAL RD",
            "address_2": "BUILDING B",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922360",
            "telephone_number": "203-265-0018",
            "fax_number": "203-265-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N PLAINS INDUSTRIAL RD",
            "address_2": "BUILDING B",
            "city": "WALLINGFORD",
            "state": "CT",
            "postal_code": "064922360",
            "telephone_number": "203-265-0018",
            "fax_number": "203-265-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAULKNER PHYSICAL THERAPY GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-03",
        "last_updated": "2013-07-16",
        "status": "A",
        "authorized_official_last_name": "KRUGER",
        "authorized_official_first_name": "CHIMENE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "203-265-0018"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wallingford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2013; 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.