Pinnacle Rehabilitation Network, LLC
Organization Active NPI Physical Therapist · Bantam, CT
NPI 1497843056 · NPPES record last updated Nov 6, 2025
Key facts
- NPI
- 1497843056
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Physical Therapist 225100000X
- Legal business name
- PINNACLE REHABILITATION NETWORK, LLC
- Practice address
- 607 Bantam Rd Ste H
Bantam, CT 06750-1635 - Phone
- (860) 567-7787
- Fax
- (860) 567-7779
- NPI assigned
- Oct 10, 2006
- Organization subpart
- Yes
- Parent organization (as reported)
- PINNACLE REHABILITATION NETWORK, LLC
Authorized official
- Name
- Amanda Taylor
- Title
- VP of Operations
- Phone
- (978) 388-7272
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 32
Practitioners 3
-
Kristen Ann Wulfing, DPT
-
Darrell Gruber, PT, DPT
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041217000083 | CT | Part B Supplier - Physical/Occupational Therapy Group in Private Practice | 7618872086 |
Receives reassigned benefits from 8 practitioners 3 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: South Windsor, CT; Ridgefield, CT; Bantam, CT |
National Provider Directory
- Tax ID family
- Pinnacle Rehab Network LLC
- Part of
- Pinnacle Rehab Network LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist |
225100000X | Yes |
Addresses
Primary practice location
607 Bantam Rd Ste H
Bantam, CT 06750-1635
Mailing address
73 Newton Rd Unit 101
Plaistow, NH 03865-2440
Phone (978) 388-7272
Other names
- The Hills Physical Therapy
Other providers in Bantam, CT
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- Suzanna Claudia Nemeth
- Ortho New England, LLC
- Ortho New England, LLC
- Tabitha Plunske
- Joseph Henry Privitera
- Nikhil Ramburn
- Rachel D Rosa
- Linda Thorpe
All providers in Bantam, 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 Nov 6, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.