Organization Active NPI

Sportsmed Chiropractic of Connecticut, PLLC

Doing business as SportsMed Physical Therapy

  • Chiropractor
  • Norwalk, CT
National Provider Identifier
1528865185
Registry record updated Feb 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
SPORTSMED CHIROPRACTIC OF CONNECTICUT, PLLC
Doing business as
SportsMed Physical Therapy
Practice address
499B Westport Ave
Norwalk, CT 06851-4411
Phone
(475) 470-0400
NPI assigned
Feb 28, 2025
Last updated
Feb 28, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
SPORTSMED PT OF CONNECTICUT, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 28, 2025

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

Authorized official

Name
Carol Azar
Title
VP, RCM
Phone
(201) 857-0527

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X NU Primary

Addresses

Primary practice location

499B Westport Ave
Norwalk, CT 06851-4411

Mailing address

266 Harristown Rd Ste 304
Glen Rock, NJ 07452-3321
Phone (973) 767-3880

Other names 1

  • SportsMed Physical Therapy Doing business as

National Provider Directory

National Provider Directory
Part of
Sportsmed PT of CT PLLC

NPI Registry JSON

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

{
    "created_epoch": "1740700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740700800000",
    "number": "1528865185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "266 HARRISTOWN RD STE 304",
            "city": "GLEN ROCK",
            "state": "NJ",
            "postal_code": "074523321",
            "telephone_number": "973-767-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "499B WESTPORT AVE",
            "city": "NORWALK",
            "state": "CT",
            "postal_code": "068514411",
            "telephone_number": "475-470-0400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPORTSMED CHIROPRACTIC OF CONNECTICUT, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPORTSMED PT OF CONNECTICUT, PLLC",
        "enumeration_date": "2025-02-28",
        "last_updated": "2025-02-28",
        "certification_date": "2025-02-28",
        "status": "A",
        "authorized_official_last_name": "AZAR",
        "authorized_official_first_name": "CAROL",
        "authorized_official_title_or_position": "VP, RCM",
        "authorized_official_telephone_number": "201-857-0527"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SportsMed Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norwalk, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2025; 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.