Jeffrey Levine, PT
Individual provider Active NPI Physical Therapist · Farmington, CT
NPI 1609109453 · NPPES record last updated Sep 11, 2009
Key facts
- NPI
- 1609109453
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 006276 (CT)
- Practice address
- 499 Farmington Ave
3Rd Floor
Farmington, CT 06032-1943 - Phone
- (860) 667-5450
- Fax
- (860) 667-8416
- NPI assigned
- Sep 11, 2009
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 006276 | CT | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 006276 | CT | Yes |
Addresses
Primary practice location
499 Farmington Ave
3Rd Floor
Farmington, CT 06032-1943
Mailing address
181 Patricia M Genova Dr
Eastern Rehabilitation Network 5TH Floor
Newington, CT 06111-1500
Phone (860) 667-5450
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004212362 | Medicaid | CT | |
| 076536 | Other | CT | MEDICARE |
Other providers in Farmington, CT
- Matthew Joseph Lestina
- Justina Leung
- Paul Chung Wang Leung
- Rachael M Levesque
- Eric J Levine
- Joel B Levine
- Kevin Michael Levine
- Susan Levine
- Jared Jareaux Levingston
- Catherine Lewis
All providers in Farmington, CT · Physical Therapist in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 11, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.