Active NPI
McLean Health Center
- Physical Therapy Clinic/Center
- Simsbury, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 004091
- Legal business name
- MCLEAN HEALTH CENTER
- Practice address
- 75 Great Pond Rd
Simsbury, CT 06070-1980 - Phone
- (860) 651-3700
- NPI assigned
- Jun 13, 2007
- Last updated
- Aug 22, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Mary C. Gibbons, BS , RPT
- Title
- Physical Therapist
- Phone
- (860) 658-3700
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Clinic/Center | 261QP2000X | 004091 | CT | Primary |
Addresses
Primary practice location
75 Great Pond Rd
Simsbury, CT 06070-1980
Mailing address
131 Great Pond Rd
Simsbury, CT 06070-1525
Phone (860) 651-7214
National Provider Directory
National Provider Directory- Tax ID family
- McLean Dental Clinic
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Nursing Facility/Intermediate Care Facility
- Simsbury, CT
- NPI 1649492273
Practitioners & affiliated clinicians
Practitioners 1
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.
-
- Physical Therapist
- Simsbury, CT
- NPI 1497911622
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181692800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1669676599",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "131 GREAT POND RD",
"city": "SIMSBURY",
"state": "CT",
"postal_code": "060701525",
"telephone_number": "860-651-7214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 GREAT POND RD",
"city": "SIMSBURY",
"state": "CT",
"postal_code": "060701980",
"telephone_number": "860-651-3700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MCLEAN HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-13",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "GIBBONS",
"authorized_official_first_name": "MARY",
"authorized_official_middle_name": "C.",
"authorized_official_title_or_position": "PHYSICAL THERAPIST",
"authorized_official_telephone_number": "860-658-3700",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "BS , RPT"
},
"taxonomies": [
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "CT",
"license": "004091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Simsbury, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.