Connecticut Spine & Sports Medicine

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

003388 Issued in CT

Legal business name

CONNECTICUT SPINE & SPORTS MEDICINE

Practice address

80 S Main St
Middletown, CT 06457-3648

Phone

(860) 347-1302

Fax

(860) 347-1305

NPI assigned

Jun 13, 2007

Organization subpart

No

Name

Dr. Gary Vincent Roegiers, PT

Title

Owner

Phone

(860) 347-1302

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

• William F Clark, D.C.

  • Rehabilitation Chiropractor
  • Cromwell, CT
  • NPI 1740360049
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 4, 2007.

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1548464530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 S MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573648",
            "telephone_number": "860-347-1302",
            "fax_number": "860-347-1305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 S MAIN ST",
            "city": "MIDDLETOWN",
            "state": "CT",
            "postal_code": "064573648",
            "telephone_number": "860-347-1302",
            "fax_number": "860-347-1305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT SPINE & SPORTS MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "ROEGIERS",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "VINCENT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-347-1302",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "003388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Diane Connell
• Megan Connelly
• Kenneth Connolly, PARAMEDIC
• Laura Connors, NP

• All providers in Middletown, CT
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; 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.