Eastern Connecticut Rehabili

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

EASTERN CONNECTICUT REHABILI

Practice address

165 Hartford Pike
Dayville, CT 06241-1556

Phone

(860) 779-0150

Fax

(860) 774-2371

NPI assigned

Aug 7, 2006

Last updated

Apr 25, 2024By 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

Miss Kristi L Hachey

Title

VP of Operations

Phone

(860) 376-2564

Specialties & licenses 1

Addresses

Other names 1

• ECRC PHYSICAL THERAPY Other name

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Eastern Connecticut Rehabili

  • Physical Therapy Clinic/Center
  • Gales Ferry, CT
  • NPI 1700895729

  O20040203000433

  Same enrollment
• Eastern Connecticut Rehabilitation Centers

  dba Ecrc

  • Physical Therapy Clinic/Center
  • Lisbon, CT
  • NPI 1275542219

  O20040203000433

  Same enrollment
• Eastern Connecticut Rehabilitation Centers

  • Physical Therapy Clinic/Center
  • Colchester, CT
  • NPI 1598774507

  O20040203000433

  Same enrollment
• Eastern Connecticut Rehabilitation Centers

  • Physical Therapy Clinic/Center
  • Killingly, CT
  • NPI 1952310971

  O20040203000433

  Same enrollment

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vera R Killian, PT

  • Physical Therapist
  • Mansfield Center, CT
  • NPI 1629150644
  NPD (past)
• Lisa Ann McGowan, PT

  • Physical Therapist
  • Norwich, CT
  • NPI 1912102443
  NPD (past)

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

{
    "created_epoch": "1154908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714003200000",
    "number": "1619986619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2B LEE RD",
            "city": "JEWETT CITY",
            "state": "CT",
            "postal_code": "063513042",
            "telephone_number": "860-376-2564",
            "fax_number": "860-376-4812"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 HARTFORD PIKE",
            "city": "DAYVILLE",
            "state": "CT",
            "postal_code": "062411556",
            "telephone_number": "860-779-0150",
            "fax_number": "860-774-2371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EASTERN CONNECTICUT REHABILI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-07",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A",
        "authorized_official_last_name": "HACHEY",
        "authorized_official_first_name": "KRISTI",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "VP OF OPERATIONS",
        "authorized_official_telephone_number": "860-376-2564",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECRC PHYSICAL THERAPY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Paula Dibo, MD
• Gary Lee Dippel, LICSW
• Scott Edward Dombkowski
• Madison Dominique, LMSW
• Jane Marie Doyle, MD
• Laura Evangelista, MA
• Stephanie A Fagan, LICSW
• Faithful RN Consulting
• Ana Maria Falcon-Garcia, M. DIV.,CCDP-D, LADC
• Alexandra Lee Fandetti-Robin, D.C.

• Physical Therapy Clinic/Center in Dayville, CT
• Providers in Dayville, 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 Apr 25, 2024; 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.