Integrative Wellness and Physical Therapy, P.C.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

INTEGRATIVE WELLNESS AND PHYSICAL THERAPY, P.C.

Practice address

34 Jerome Ave
Suite 305
Bloomfield, CT 06002-2463

Phone

(860) 519-1916

Fax

(860) 986-6756

NPI assigned

Mar 27, 2014

Last updated

Jul 16, 2014By 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

Ayelet Connell-Giammatteo, PHD,PT,IMT,C

Title

Practice Manager

Phone

(860) 657-4471

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1395878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405468800000",
    "number": "1417374463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 JEROME AVE",
            "address_2": "SUITE 305",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022463",
            "telephone_number": "860-519-1916",
            "fax_number": "860-986-6756"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 JEROME AVE",
            "address_2": "SUITE 305",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022463",
            "telephone_number": "860-519-1916",
            "fax_number": "860-986-6756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE WELLNESS AND PHYSICAL THERAPY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-27",
        "last_updated": "2014-07-16",
        "status": "A",
        "authorized_official_last_name": "CONNELL-GIAMMATTEO",
        "authorized_official_first_name": "AYELET",
        "authorized_official_title_or_position": "PRACTICE MANAGER",
        "authorized_official_telephone_number": "860-657-4471",
        "authorized_official_credential": "PHD,PT,IMT,C"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• I Serve Behavioral Health Services LLC
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• Inspire Me, LLC
• Integrity Care 360 LLC
• Jacob Zamstein, MD, LLC
• Henry Eli Jacobs, MD
• Leigh-Ann Danielle Jaggon, DPT, PT
• Tina Marie James, LMSW

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; 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.