NPIMap

Organization Active NPI

Cheshire Physical Therapy & Sports Medicine, Inc

  • Specialist
  • Cheshire, CT
National Provider Identifier
1669690087
Registry record updated Nov 11, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
02770 Issued in CT
Legal business name
CHESHIRE PHYSICAL THERAPY & SPORTS MEDICINE, INC
Practice address
475 S Main St
Cheshire, CT 06410-3164
Phone
(203) 271-2928
Fax
(203) 699-8445
NPI assigned
Apr 23, 2007
Last updated
Nov 11, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 11, 2016

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

Authorized official

Name
John Payne, PTNPI 1760440820
Title
Owner
Phone
(203) 271-2928

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 02770 CT Primary

Addresses

Primary practice location

475 S Main St
Cheshire, CT 06410-3164

Mailing address

475 S Main St
Cheshire, CT 06410-3164
Phone (203) 271-2928

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1478822400000",
    "number": "1669690087",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "475 S MAIN ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103164",
            "telephone_number": "203-271-2928",
            "fax_number": "203-699-8445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 S MAIN ST",
            "city": "CHESHIRE",
            "state": "CT",
            "postal_code": "064103164",
            "telephone_number": "203-271-2928",
            "fax_number": "203-699-8445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESHIRE PHYSICAL THERAPY & SPORTS MEDICINE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-23",
        "last_updated": "2016-11-11",
        "status": "A",
        "authorized_official_last_name": "PAYNE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-271-2928",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CT",
            "license": "02770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cheshire, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2016; 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.