Organization Active NPI

Tricore Physical Therapy and Wellness PLLC

  • Physical Therapy Clinic/Center
  • Waterford, CT
National Provider Identifier
1528899630
Registry record updated Aug 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
TRICORE PHYSICAL THERAPY AND WELLNESS PLLC
Practice address
132 Cross Rd
Waterford, CT 06385-1204
Phone
(860) 245-9860
NPI assigned
Aug 10, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 10, 2024

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

Authorized official

Name
Manali Kadam, PT, DPT, OCS, MTCNPI 1336405612
Title
Owner
Phone
(860) 245-9860

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

132 Cross Rd
Waterford, CT 06385-1204

Mailing address

PO Box 7
Waterford, CT 06385-0007
Phone (860) 245-9860

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1723248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723248000000",
    "number": "1528899630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 7",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063850007",
            "telephone_number": "860-245-9860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "132 CROSS RD",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063851204",
            "telephone_number": "860-245-9860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRICORE PHYSICAL THERAPY AND WELLNESS PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-10",
        "last_updated": "2024-08-10",
        "certification_date": "2024-08-10",
        "status": "A",
        "authorized_official_last_name": "KADAM",
        "authorized_official_first_name": "MANALI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-245-9860",
        "authorized_official_credential": "PT, DPT, OCS, MTC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2024; 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.