Physio-Plus,LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

004509 Issued in CT

Legal business name

PHYSIO-PLUS,LLC

Practice address

1465 Post Rd E
Westport, CT 06880-5528

Phone

(203) 259-0200

Fax

(203) 663-8226

NPI assigned

Jan 28, 2010

Last updated

Jan 28, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Kurt Soderlund

Title

Owner

Phone

(203) 259-0200

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1264636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264636800000",
    "number": "1689905739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1465 POST RD E",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805528",
            "telephone_number": "203-259-0200",
            "fax_number": "203-663-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1465 POST RD E",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068805528",
            "telephone_number": "203-259-0200",
            "fax_number": "203-663-8226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PHYSIO-PLUS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-28",
        "last_updated": "2010-01-28",
        "status": "A",
        "authorized_official_last_name": "SODERLUND",
        "authorized_official_first_name": "KURT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-259-0200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "CT",
            "license": "004509",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Westport, CT
• Providers in Westport, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2010; 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.