Eastern Connecticut Rehabili

Key facts

NPI

1619986619

Entity type

Organization (NPI type 2)

Primary specialty

Physical Therapy Clinic/Center 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

Organization subpart

No

Authorized official

Name

Miss Kristi L Hachey

Title

VP of Operations

Phone

(860) 376-2564

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
  Same enrollment O20040203000433
• Eastern Connecticut Rehabilitation Centers Physical Therapy Clinic/Center · Lisbon, CT · NPI 1275542219
  Same enrollment O20040203000433
• Eastern Connecticut Rehabilitation Centers Physical Therapy Clinic/Center · Colchester, CT · NPI 1598774507
  Same enrollment O20040203000433
• Eastern Connecticut Rehabilitation Centers Physical Therapy Clinic/Center · Killingly, CT · NPI 1952310971
  Same enrollment O20040203000433

Practitioners 2

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

• 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)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in CT

Medicare enrollment records

National Provider Directory

Specialties & licenses

Addresses

Other identifiers

Other names

• ECRC PHYSICAL THERAPY Other name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 25, 2024.

{
    "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": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHONET",
            "identifier": "0014106",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "OV3121",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHY CT",
            "identifier": "523414G",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CONNECTICARE",
            "identifier": "703332",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "A2752221",
            "state": "CT"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004189024",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ECRC PHYSICAL THERAPY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Dayville, CT

• 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.

All providers in Dayville, CT · Physical Therapy Clinic/Center in Connecticut