Organization Active NPI

Temple P. T. & Life Sciences

  • Physical Therapist
  • East Haven, CT
National Provider Identifier
1508060021
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
TEMPLE P. T. & LIFE SCIENCES
Practice address
444 Foxon Rd
East Haven, CT 06513-2019
Phone
(203) 468-4620
NPI assigned
Jun 11, 2007
Organization subpart
Yes
Parent organization
TEMPLE P.T. & LIFE SCIENCESAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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

Authorized official

Name
Glenn Elia
Title
Ceo
Phone
(203) 407-3576

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208100000X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

444 Foxon Rd
East Haven, CT 06513-2019

Mailing address

230 George St
New Haven, CT 06510-3224
Phone (203) 498-5980

National Provider Directory

National Provider Directory
Tax ID family
Temple PT Life Sciences5 organizations share this tax ID, including this one
Part of
Temple PT Life Sciences

Other organizations with this tax ID 4

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

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246838400000",
    "number": "1508060021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "230 GEORGE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103224",
            "telephone_number": "203-498-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "444 FOXON RD",
            "city": "EAST HAVEN",
            "state": "CT",
            "postal_code": "065132019",
            "telephone_number": "203-468-4620"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEMPLE P. T. & LIFE SCIENCES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TEMPLE P.T. & LIFE SCIENCES",
        "enumeration_date": "2007-06-11",
        "last_updated": "2009-07-06",
        "status": "A",
        "authorized_official_last_name": "ELIA",
        "authorized_official_first_name": "GLENN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "203-407-3576"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in East Haven, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2009; 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.