Organization Active NPI

Hometown Health, LLC

  • Physical Therapy Clinic/Center
  • Enfield, CT
National Provider Identifier
1669070827
Registry record updated Oct 10, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
HOMETOWN HEALTH, LLC
Practice address
54 Hazard Ave # 161
Enfield, CT 06082-3845
Phone
(860) 752-2733
NPI assigned
Oct 10, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 10, 2020

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

Authorized official

Name
Dr. Katie Petersen, DPT
Title
Owner
Phone
(860) 752-2733

Specialties & licenses 1

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

Addresses

Primary practice location

54 Hazard Ave # 161
Enfield, CT 06082-3845

Mailing address

54 Hazard Ave # 161
Enfield, CT 06082-3845
Phone (860) 752-2733

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address katie@hometownhealthpt.com Direct

National Provider Directory

National Provider Directory

Locations

54 Hazard Ave
#161
Enfield, CT 06082
Phone (860) 752-2733

NPI Registry JSON

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

{
    "created_epoch": "1602288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602288000000",
    "number": "1669070827",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "54 HAZARD AVE # 161",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823845",
            "telephone_number": "860-752-2733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 HAZARD AVE # 161",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060823845",
            "telephone_number": "860-752-2733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOMETOWN HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-10",
        "last_updated": "2020-10-10",
        "certification_date": "2020-10-10",
        "status": "A",
        "authorized_official_last_name": "PETERSEN",
        "authorized_official_first_name": "KATIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-752-2733",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "katie@hometownhealthpt.com",
            "affiliation": "N",
            "endpointDescription": "Secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "54 Hazard Ave # 161",
            "city": "Enfield",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060823845",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Enfield, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2020; 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.