Roberts Physical and Aquatic Therapy, LLC

Primary specialty

Orthopedic Physical TherapistTaxonomy code 2251X0800X

License

005897 Issued in CT

Legal business name

ROBERTS PHYSICAL AND AQUATIC THERAPY, LLC

Practice address

210 Main St
Old Saybrook, CT 06475-2333

Phone

(860) 395-5300

Fax

(860) 395-5700

NPI assigned

Sep 25, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Todd Michael Roberts, PT

Title

Member

Phone

(860) 395-5300

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kevin P Berghorn, DPT

  • Physical Therapist
  • Southington, CT
  • NPI 1821337064
  NPD (past)
• Francesca Biasucci, P.T.

  • Orthopedic Physical Therapist
  • North Franklin, CT
  • NPI 1114116746
  NPD (past)

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

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689775504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 537",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064750537",
            "telephone_number": "860-395-5300",
            "fax_number": "860-395-5700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 MAIN ST",
            "city": "OLD SAYBROOK",
            "state": "CT",
            "postal_code": "064752333",
            "telephone_number": "860-395-5300",
            "fax_number": "860-395-5700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERTS PHYSICAL AND AQUATIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "TODD",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "860-395-5300",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CT",
            "license": "005897",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard P Benoit DMD PC
• Jessica Lynne Richardson, LCSW
• Rick Morant DMD Ms LLC
• Christine Marie Riley, LPCA
• River Valley Periodontics and Implant Dentistry, LLC
• Todd Michael Roberts, PT
• Robin'S Den LLC
• Tyler J Robles
• Michele Rollins, RPH
• Richard Roth, RPH

• Orthopedic Physical Therapist in Old Saybrook, CT
• Providers in Old Saybrook, CT by specialty
• Orthopedic Physical Therapist in Connecticut

• 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.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.