Organization Active NPI

Resilient Performance Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Darien, CT
National Provider Identifier
1649925173
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
RESILIENT PERFORMANCE PHYSICAL THERAPY PLLC
Practice address
315 Middlesex Rd
Darien, CT 06820-4316
Phone
(929) 429-5086
NPI assigned
Feb 14, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Authorized official

Name
Trevor RappaNPI 1639684723
Title
Co-Owner
Phone
(309) 824-5130

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

315 Middlesex Rd
Darien, CT 06820-4316

Mailing address

148 College PL
South Orange, NJ 07079-2506
Phone (309) 824-5130

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1644796800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1644796800000",
    "number": "1649925173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 COLLEGE PL",
            "city": "SOUTH ORANGE",
            "state": "NJ",
            "postal_code": "070792506",
            "telephone_number": "309-824-5130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 MIDDLESEX RD",
            "city": "DARIEN",
            "state": "CT",
            "postal_code": "068204316",
            "telephone_number": "929-429-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT PERFORMANCE PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-14",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A",
        "authorized_official_last_name": "RAPPA",
        "authorized_official_first_name": "TREVOR",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "309-824-5130"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Darien, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2022; 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.