Ctr Adv Ortho & Sports Medicine PC

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

039414 Issued in CT

Legal business name

CTR ADV ORTHO & SPORTS MEDICINE PC

Practice address

538 Litchfield St
Suite G-01
Torrington, CT 06790-6669

Phone

(860) 496-9877

Fax

(860) 496-0441

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Angela Penney

Title

Practice Administrator

Phone

(860) 496-9877

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in CT2 enrollments

Enrollment records 2

Locations

Practitioners 2

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

• Keith Edward Penney, MD

  • Orthopaedic Surgery Physician
  • Torrington, CT
  • NPI 1700874955
  Medicare reassignment NPD
• Tia Jean Williams, PA-C, MMSC

  • Surgical Physician Assistant
  • Rocky Hill, CT
  • NPI 1851631683
  Medicare reassignment

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558310400000",
    "number": "1619020153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "538 LITCHFIELD ST",
            "address_2": "SUITE G-01",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906669",
            "telephone_number": "860-496-9877",
            "fax_number": "860-496-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "538 LITCHFIELD ST",
            "address_2": "SUITE G-01",
            "city": "TORRINGTON",
            "state": "CT",
            "postal_code": "067906669",
            "telephone_number": "860-496-9877",
            "fax_number": "860-496-0441"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7 Village Green Dr Unit A-1",
            "address_purpose": "LOCATION",
            "city": "Litchfield",
            "state": "CT",
            "postal_code": "067593433",
            "country_code": "US",
            "telephone_number": "860-496-9877",
            "fax_number": "860-496-0441",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CTR ADV ORTHO & SPORTS MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2019-05-20",
        "status": "A",
        "authorized_official_last_name": "PENNEY",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "860-496-9877"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": "039414",
            "primary": true
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "CT",
            "license": "493408001",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Laura Cummings, LCSW
• Jean M Cunningham, LCSW
• Susan Cunningham, RPH
• J Michael Bradley Curi, M.D.
• Margaret Currie, LCSW

• Orthopaedic Surgery Physician in Torrington, CT
• Providers in Torrington, CT by specialty
• Orthopaedic Surgery Physician in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2019; 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.