Suzanne Marie Baillargeon, PTA
Individual provider Active NPI Physical Therapy Assistant · Newington, CT
NPI 1760536619 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1760536619
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 03406794 (CT)
- Practice address
- 9 Elmwood CT
Newington, CT 06111-1401 - Phone
- (860) 953-1204
- Fax
- (860) 953-1208
- NPI assigned
- Jan 22, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03406794 | CT | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Taylor Therapy Center PC | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 03406794 | CT | Yes |
Addresses
Primary practice location
9 Elmwood CT
Newington, CT 06111-1401
Mailing address
936 Bridge St
Suffield, CT 06078-2363
Phone (860) 668-6321
Other providers in Newington, CT
- Meari L Avery
- Amina Ayub
- Azalea Counseling & Wellness, LLC
- Back to Motion Sports Rehab and Fitness
- Ronald M Backer
- Sri M Balasuriyar
- Bernadette M Barile
- Barochia Internal Medicine, LLC
- Sanjay Parbatbhai Barochia
- Amy Beth Barrett
All providers in Newington, CT · Physical Therapy Assistant in Connecticut
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.