Main Street Physical Therapy

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

MAIN STREET PHYSICAL THERAPY

Practice address

36 Main St
Torrington, CT 06790-5303

Phone

(860) 482-4888

Fax

(860) 482-8444

NPI assigned

Mar 10, 2017

Organization subpart

Yes

Parent organization

CANTON PHYSICAL THERAPYAs reported in NPPES

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

Authorized official

Name

Rachel Devlin

Title

Director of Finance and Administrat

Phone

(860) 693-6226

Specialties & licenses 1

Addresses

Tax ID family

Canton Physical Therapy LLC3 organizations share this tax ID, including this one

Part of

Canton Physical Therapy LLC

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Windsor Physical Therapy

  • Physical Therapist
  • Windsor, CT
  • NPI 1396002184
  NPD tax ID
• Winsted Physical Therapy

  • Physical Therapist
  • Winsted, CT
  • NPI 1891188447
  NPD tax ID

Locations

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

{
    "created_epoch": "1489104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489104000000",
    "number": "1427599414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 466",
            "city": "CANTON",
            "state": "CT",
            "postal_code": "060190466",
            "telephone_number": "860-482-4888",
            "fax_number": "860-482-8444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36 MAIN ST",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067905303",
            "telephone_number": "860-482-4888",
            "fax_number": "860-482-8444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAIN STREET PHYSICAL THERAPY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "CANTON PHYSICAL THERAPY",
        "enumeration_date": "2017-03-10",
        "last_updated": "2017-03-10",
        "status": "A",
        "authorized_official_last_name": "DEVLIN",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE AND ADMINISTRAT",
        "authorized_official_telephone_number": "860-693-6226"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Lynn Magda, MD
• Haley Joy Magnetta, PA-C
• Michael Corey Magnifico, M.D.
• Paul Justin Mahler, LCSW
• Marguerite Mahon
• Maletta Pfeiffer & Associates, L.L.C.
• Maletta Pfeiffer & Associates, L.L.C.
• Brian Bernard Malone, MD
• Megan Mancinelli, APRN
• Neal Mandell, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2017; 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.