Hayden Burbank

Individual provider Active NPI Physical Therapist · Southington, CT

NPI 1629955877 · NPPES record last updated Sep 4, 2026

Key facts

NPI
1629955877
Entity type
Individual (NPI type 1)
Primary specialty
Physical Therapist 225100000X
License
15031 (CT)
Practice address
98 Main St
Southington, CT 06489-2500
Phone
(860) 620-9954
NPI assigned
Aug 19, 2025
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

LicenseStateTypeSpecialty
15031CTMDPhysical Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15031 CT Yes

Addresses

Primary practice location

98 Main St
Southington, CT 06489-2500

Mailing address

2001 Butterfield Rd Ste 1600
Downers Grove, IL 60515-1211
Phone (630) 296-2222

Other providers in Southington, CT

All providers in Southington, CT · Physical Therapist in Connecticut

Sources for this page

Verify at the official NPI Registry.