Organization Active NPI

Anb-Ptsma Holdings, Inc.

Doing business as Physical Therapy & Sports Medicine Centers

  • Physical Therapist
  • West Hartford, CT
National Provider Identifier
1659453371
Registry record updated Mar 25, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
ANB-PTSMA HOLDINGS, INC.
Doing business as
Physical Therapy & Sports Medicine Centers
Practice address
47 N Main St
West Hartford, CT 06107-1926
Phone
(860) 409-4595
Fax
(860) 409-4860
NPI assigned
Oct 20, 2006
Last updated
Mar 25, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2026

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

Authorized official

Name
Alan BalavenderNPI 1174605810
Title
Owner
Phone
(860) 409-4595

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Occupational Therapist 225X00000X NU

Addresses

Primary practice location

47 N Main St
West Hartford, CT 06107-1926

Mailing address

47 N Main St
West Hartford, CT 06107-1926
Phone (860) 409-4595

Other identifiers 1

IdentifierTypeStateIssuer
004201000MedicaidCT

Other names 1

  • Physical Therapy & Sports Medicine Centers Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT, MA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20100928000128 CT Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4789572926 Receives reassigned benefits from 203 practitioners
Practice locations: Middletown, CT; Newtown, CT; Norwich, CT; Orange, CT; Plainville, CT; Newington, CT; Putnam, CT; Shelton, CT…
O20260209001544 MA Part B Supplier - Physical/Occupational Therapy Group in Private Practice 4789572926 Receives reassigned benefits from 2 practitioners
Practice locations: Easthampton, MA

National Provider Directory

National Provider Directory

Locations (25 of 36)

44 Dale Rd
Ste 203
Avon, CT 06001
Phone (860) 674-1713

1224 Main St
Ste 5
Branford, CT 06405
Phone (203) 483-7979

6 Business Park Dr
Ste 201
Branford, CT 06405
Phone (203) 483-7979

98 Mill Plain Rd
Ste 3B
Danbury, CT 06811
Phone (203) 616-2312

201 W High St
Unit A2
East Hampton, CT 06424
Phone (860) 357-5666

125 Westbrook Rd
Ste 1
Essex, CT 06426
Phone (860) 767-9035

2373 Black Rock Tpke
Fairfield, CT 06825
Phone (203) 659-3056

124 Hebron Ave
Ste 1D
Glastonbury, CT 06033
Phone (860) 781-6999

481 Gold Star Hwy
Ste 302
Groton, CT 06340
Phone (860) 446-8254

385 Church St
Ste 103
Guilford, CT 06437
Phone (203) 453-2844

2319 Whitney Ave
Ste 3A
Hamden, CT 06518
Phone (203) 651-7675

1151 Tolland Tpke
Ste 9
Manchester, CT 06042
Phone (860) 288-1014

134 Main Street Ext
Ste 100
Middletown, CT 06457
Phone (860) 740-3087

100 Prospect St
Ste 116
Naugatuck, CT 06770
Phone (203) 723-0722

635 Broad St
New London, CT 06320
Phone (860) 442-4600

43 Main St
New Milford, CT 06776
Phone (860) 946-0710

64 Market Sq
Newington, CT 06111
Phone (860) 881-2928

30 Church Hill Rd
Newtown, CT 06470
Phone (203) 426-8449

240 Indian River Rd
Orange, CT 06477
Phone (203) 497-3888

240 Indian River Rd
Ste B7
Orange, CT 06477
Phone (203) 298-9828

103 E Main St
Ste C
Plainville, CT 06062
Phone (860) 517-8885

103 E Main St
Unit C
Plainville, CT 06062
Phone (860) 517-8885

886 Bridgeport Ave
Shelton, CT 06484
Phone (203) 445-6068

760 Main St S
Ste D
Southbury, CT 06488
Phone (203) 437-6155

775 Main St S
Unit 70
Southbury, CT 06488
Phone (203) 437-6155

Practitioners & affiliated clinicians

Practitioners 246

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.

View all 246

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1774396800000",
    "number": "1659453371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47 N MAIN ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071926",
            "telephone_number": "860-409-4595",
            "fax_number": "860-409-4860"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 N MAIN ST",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061071926",
            "telephone_number": "860-409-4595",
            "fax_number": "860-409-4860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANB-PTSMA HOLDINGS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2026-03-25",
        "certification_date": "2026-03-25",
        "status": "A",
        "authorized_official_last_name": "BALAVENDER",
        "authorized_official_first_name": "ALAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-409-4595"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004201000",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy & Sports Medicine Centers",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2026; 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.