Chapin & Havlicek Physical Therapy, LLC

Key facts

NPI

1679653281

Entity type

Organization (NPI type 2)

Primary specialty

Physical Therapist 225100000X

Legal business name

CHAPIN & HAVLICEK PHYSICAL THERAPY, LLC

Practice address

46 Prince St
Suite 402B
New Haven, CT 06519-1600

Phone

(203) 752-7878

Fax

(203) 776-4989

NPI assigned

Oct 17, 2006

Organization subpart

No

Authorized official

Name

William Chapin

Title

Member

Phone

(203) 752-7878

National Provider Directory

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 23, 2008.

{
    "created_epoch": "1161043200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201046400000",
    "number": "1679653281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46 PRINCE ST",
            "address_2": "SUITE 402B",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191600",
            "telephone_number": "203-752-7878",
            "fax_number": "203-776-4989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46 PRINCE ST",
            "address_2": "SUITE 402B",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065191600",
            "telephone_number": "203-752-7878",
            "fax_number": "203-776-4989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAPIN & HAVLICEK PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-17",
        "last_updated": "2008-01-23",
        "status": "A",
        "authorized_official_last_name": "CHAPIN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "203-752-7878"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Hand",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "50HAVLICECT01",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG2786",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0578042",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ORTHONET",
            "identifier": "0114801",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2V4683",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET 9/1/06",
            "identifier": "2V8124",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Emily Ann Chapman, SLP
• Phillip Branch Chappell, MD

All providers in New Haven, CT · Physical Therapist in Connecticut