Joint Pain Treatment Center, LLC

Key facts

NPI

1760172001

Entity type

Organization (NPI type 2)

Primary specialty

Nurse Practitioner 363L00000X

Legal business name

JOINT PAIN TREATMENT CENTER, LLC

Practice address

417 Highland Ave
Waterbury, CT 06708-3454

Phone

(203) 504-7518

NPI assigned

May 10, 2023

Organization subpart

No

Authorized official

Name

Kristen Donohue, NP

Title

Owner, NP Director

Phone

(203) 895-6572

Practitioners 7

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

• Alfonse Mariano Campo, M.D. Internal Medicine Physician · Fairfield, CT · NPI 1265541056
  NPD (past)
• Mark A Gregorio, DNP, APRN, CNP, NP-C Adult Health Nurse Practitioner · New Haven, CT · NPI 1598066698
  NPD (past)
• Hillary A Iweorah, PA-C Physician Assistant · Shelton, CT · NPI 1003574997
  NPD (past)
• Julie Anne Ouellette, APRN Family Nurse Practitioner · Bristol, CT · NPI 1366940298
  NPD (past)
• Jessica-Lee Sabatino, FNP Family Nurse Practitioner · West Hartford, CT · NPI 1184312506
  NPD (past) NURSE PRACTITIONER
• Abhinit Drupad Shah, M.B.B.S, M.D Family Medicine Physician · New Haven, CT · NPI 1801423207
  NPD (past)
• Rohit Gouree Ramanath, MD General Practice Physician · Franklin Lakes, NJ · NPI 1457622003
  NPD (past)

National Provider Directory

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jan 18, 2024.

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705536000000",
    "number": "1760172001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "417 HIGHLAND AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083454",
            "telephone_number": "203-504-7518"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "417 HIGHLAND AVE",
            "city": "WATERBURY",
            "state": "CT",
            "postal_code": "067083454",
            "telephone_number": "203-504-7518"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10 Progress Dr Ste 2F",
            "address_purpose": "LOCATION",
            "city": "Shelton",
            "state": "CT",
            "postal_code": "064846294",
            "country_code": "US",
            "telephone_number": "203-504-7518",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JOINT PAIN TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2024-01-18",
        "certification_date": "2024-01-18",
        "status": "A",
        "authorized_official_last_name": "DONOHUE",
        "authorized_official_first_name": "KRISTEN",
        "authorized_official_title_or_position": "OWNER, NP DIRECTOR",
        "authorized_official_telephone_number": "203-895-6572",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Waterbury, CT

• Stephanie Johnson, PTA
• Toni-Kae Johnson
• Caroline Johnssen, MD
• Marie G. Johnston, R.N., L.A.D.C.
• Joint Pain Relief Center LLC
• Lorraine Diane Jolly, LMT
• Jada Chantel Jones, PHLEBOTOMIST
• Janeika J Jones
• Jannet Jones, LADC
• Kari Jones

All providers in Waterbury, CT · Nurse Practitioner in Connecticut