Centered Health Physical Therapy

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

07875 Issued in CT

Legal business name

CENTERED HEALTH PHYSICAL THERAPY

Practice address

1477 Park St
Suite 14
Hartford, CT 06106-2235

Phone

(860) 648-0659

NPI assigned

Sep 17, 2008

Organization subpart

No

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

Authorized official

Name

Anthony Maietta, MSPTNPI 1386710820

Title

Owner

Phone

(860) 648-0659

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 2

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

• Anthony Maietta, MSPT

  • Physical Therapist
  • Hartford, CT
  • NPI 1386710820
  Medicare reassignment NPD Authorized official
• Ellen A Dornelas, PHD

  • Clinical Psychologist
  • Hartford, CT
  • NPI 1083627608
  NPD (past)

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

{
    "created_epoch": "1221609600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1609025394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1477 PARK ST",
            "address_2": "SUITE 14",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062235",
            "telephone_number": "860-648-0659"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1477 PARK ST",
            "address_2": "SUITE 14",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061062235",
            "telephone_number": "860-648-0659"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERED HEALTH PHYSICAL THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-17",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "MAIETTA",
        "authorized_official_first_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-648-0659",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "CT",
            "license": "07875",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Rachael Cella
• Alan Cementina, MD
• Center for Multicultural Psychological Services
• Center for Multicultural Psychological Services, LLC
• Center for Transitional Living
• Central Connecticut Area Health Education Center
• Central Connecticut Cardiologists LLC
• Central Connecticut Dental
• Central CT Surgeons, LLC
• Cep America LLC

• Physical Medicine & Rehabilitation Physician in Hartford, CT
• Providers in Hartford, CT by specialty
• Physical Medicine & Rehabilitation Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.