Gretchen Bade, PT
Individual provider Active NPI Physical Therapist · Windsor, CT
NPI 1437129608 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1437129608
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 006047 (CT)
- Practice address
- 1060 Dayhill Road
Eastern Rehabilitation Network 5TH Floor
Windsor, CT 06095 - Phone
- (860) 688-0236
- Fax
- (860) 688-0403
- NPI assigned
- Jan 23, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006047 | CT | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eastern Rehabilitation Network Headache Clinic | Physical Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 006047 | CT | Yes |
Addresses
Primary practice location
1060 Dayhill Road
Eastern Rehabilitation Network 5TH Floor
Windsor, CT 06095
Mailing address
181 Patricia Genova Drive
Eastern Rehabilitation Network 5TH Floor
Newington, CT 06111
Phone (860) 667-5449
Other providers in Windsor, CT
- Michael George Atkinson
- Awaken Hope Within LLC
- Ronicha Azard Lin
- Norma Joy B-Mullings
- Marilyn A Bacon
- Antonette Bailey
- Sheniya Bailey
- Jaze Baker
- Susan McChristy Baldwin
- Mariah Ivette Banks
All providers in Windsor, CT · Physical Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.