Connecticut Sports Clinic LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

2028 Issued in CT

Legal business name

CONNECTICUT SPORTS CLINIC LLC

Practice address

129 Church St FL 1
New Haven, CT 06510-2026

Phone

(203) 200-0099

NPI assigned

Jun 13, 2018

Organization subpart

No

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

Authorized official

Name

Gregory Hom, DCNPI 1174912125

Title

Owner

Phone

(203) 589-0226

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Gregory Hom, D.C.

  • Chiropractor
  • New Haven, CT
  • NPI 1174912125
  NPD Authorized official

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

{
    "created_epoch": "1528848000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1742515200000",
    "number": "1598258519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "57 ORANGE ST",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065103150",
            "telephone_number": "203-589-0226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 CHURCH ST FL 1",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065102026",
            "telephone_number": "203-200-0099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECTICUT SPORTS CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-13",
        "last_updated": "2025-03-21",
        "certification_date": "2025-03-21",
        "status": "A",
        "authorized_official_last_name": "HOM",
        "authorized_official_first_name": "GREGORY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-589-0226",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CT",
            "license": "2028",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Channon Conner, APRN
• Todd Marc Conner, PHARMD, BCPS, BCEMP

• Physical Therapy Clinic/Center in New Haven, CT
• Providers in New Haven, CT by specialty
• Physical Therapy Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 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.