Metapmorphosis Physical and Integrative Manual Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

002593 Issued in CT

Legal business name

METAPMORPHOSIS PHYSICAL AND INTEGRATIVE MANUAL THERAPY LLC

Practice address

34 Jerome Ave Ste 305
Bloomfield, CT 06002-2463

Phone

(860) 281-1124

NPI assigned

May 31, 2018

Last updated

May 31, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Rebecca McConnell, PT

Title

Member

Phone

(860) 281-1124

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1527724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527724800000",
    "number": "1609368133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 CLIFFWOOD DR",
            "city": "SOUTH WINDSOR",
            "state": "CT",
            "postal_code": "060741878",
            "telephone_number": "860-559-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 JEROME AVE STE 305",
            "city": "BLOOMFIELD",
            "state": "CT",
            "postal_code": "060022463",
            "telephone_number": "860-281-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "METAPMORPHOSIS PHYSICAL AND INTEGRATIVE MANUAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-31",
        "last_updated": "2018-05-31",
        "status": "A",
        "authorized_official_last_name": "MCCONNELL",
        "authorized_official_first_name": "REBECCA",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-281-1124",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CT",
            "license": "002593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Medimind Solutions PLLC
• Alexis Marie Melendez
• Steven Meltzer, D.M.D.
• Raul Mendelovici, MD
• Scott J Merkelson, D.M.D.
• Michael B Teiger MD PC (Pulmonary & Internal Medicine Associates)
• Joel Michael Miller, M.D.
• Laura Miller, RN
• Lisa Miller, LMSW
• Nicole Lynne Miller, L.O.

• Physical Therapy Clinic/Center in Bloomfield, CT
• Providers in Bloomfield, 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 May 31, 2018; 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.