Summit Rehabilitation LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SUMMIT REHABILITATION LLC

Practice address

140 Robin Road
Glastonbury, CT 06033-3202

Phone

(860) 303-8518

NPI assigned

Aug 22, 2017

Organization subpart

No

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

Authorized official

Name

Mr. Kyle Macdonald, RPT

Title

Owner

Phone

(860) 303-8518

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1503360000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1497272322",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 ROBIN RD",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060333202",
            "telephone_number": "860-303-8518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 ROBIN ROAD",
            "city": "GLASTONBURY",
            "state": "CT",
            "postal_code": "060333202",
            "telephone_number": "860-303-8518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-22",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MACDONALD",
        "authorized_official_first_name": "KYLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-303-8518",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "RPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Karen Stone, PSY.D.
• Michelle Straker
• Katherine Stuart, PT
• Micaela Sturm
• Jennifer Stylianos, M.S., OTR/L
• Sunrise Integrative Health PLLC
• Supportive Threads LLC
• Susan C Danberg OD PC
• Jonathan C Susat, DDS
• Shannon McKernan Sutherland, MD

• Physical Therapy Clinic/Center in Glastonbury, CT
• Providers in Glastonbury, CT by specialty
• Physical Therapy Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.