Thomaston Physical Therapy, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

THOMASTON PHYSICAL THERAPY, LLC

Practice address

258 S Main St
Thomaston, CT 06787-1815

Phone

(860) 283-2316

Fax

(860) 283-6079

NPI assigned

Aug 5, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Dale L Sweet Jr., P.T.NPI 1194705780

Title

Physical Therapist/Director

Phone

(860) 283-2316

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Practitioners 3

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

• Dale L Sweet Jr., PHYSICAL THERAPIST

  • Physical Therapist
  • Thomaston, CT
  • NPI 1194705780
  Medicare reassignment Care Compare group NPD Authorized official
• Pavel Kosover, OTR/L

  • Occupational Therapist
  • Waterbury, CT
  • NPI 1568636884
  Medicare reassignment Care Compare group
• Bridget R Logan, PT

  • Physical Therapist
  • Winsted, CT
  • NPI 1669581922
  NPD (past)

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1689865792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "258 S MAIN ST",
            "city": "THOMASTON",
            "state": "CT",
            "postal_code": "067871815",
            "telephone_number": "860-283-2316",
            "fax_number": "860-283-6079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "258 S MAIN ST",
            "city": "THOMASTON",
            "state": "CT",
            "postal_code": "067871815",
            "telephone_number": "860-283-2316",
            "fax_number": "860-283-6079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THOMASTON PHYSICAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "SWEET",
        "authorized_official_first_name": "DALE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST/DIRECTOR",
        "authorized_official_telephone_number": "860-283-2316",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "3784149",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "6434282",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC/BS",
            "identifier": "080006109CT06",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTHCARE",
            "identifier": "1828889",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00281232",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUECARE FAMILY",
            "identifier": "080006109CT06",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHNET",
            "identifier": "2V8292",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Thomaston Counseling Associates
• Thomaston Counseling Center
• Thomaston Dental Associates PLLC
• Thomaston Family Dental, LLC
• Thomaston Pharmacy PLLC
• Thomaston Senior Center
• Thomaston Volunteer Ambulance Corps Inc
• Renea Michelle Tirrell, LADC
• Samantha C Turner, LPC
• Walgreen Co

• Physical Therapist in Thomaston, CT
• Providers in Thomaston, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.