Active NPI
Tolland Physical Therapy
- Physical Therapist
- Tolland, CT
National Provider Identifier
1760699904
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 003038
- Legal business name
- TOLLAND PHYSICAL THERAPY
- Practice address
- 384 Merrow Rd Ste B
Tolland, CT 06084-3971 - Phone
- (860) 875-4816
- Fax
- (860) 875-2053
- NPI assigned
- May 17, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Joan Mullaney, RPT
- Title
- Partner
- Phone
- (860) 875-4816
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 003038 | CT | Primary |
Addresses
Primary practice location
384 Merrow Rd Ste B
Tolland, CT 06084-3971
Mailing address
384 Merrow Rd Ste B
Tolland, CT 06084-3971
Phone (860) 875-4816
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0V1704 | Other | CT | HEALTHNET PROVIDER NUMBER |
| A685551 | Other | CT | OXFORD PROVIDER NUMBER |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Tolland, CT
- NPI 1538221411
-
- Physical Therapist
- Tolland, CT
- NPI 1245395615
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1760699904",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "384 MERROW RD STE B",
"city": "TOLLAND",
"state": "CT",
"postal_code": "060843971",
"telephone_number": "860-875-4816",
"fax_number": "860-875-2053"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "384 MERROW RD STE B",
"city": "TOLLAND",
"state": "CT",
"postal_code": "060843971",
"telephone_number": "860-875-4816",
"fax_number": "860-875-2053"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TOLLAND PHYSICAL THERAPY",
"organizational_subpart": "NO",
"enumeration_date": "2007-05-17",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "MULLANEY",
"authorized_official_first_name": "JOAN",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "860-875-4816",
"authorized_official_credential": "RPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": "CT",
"license": "003038",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET PROVIDER NUMBER",
"identifier": "0V1704",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OXFORD PROVIDER NUMBER",
"identifier": "A685551",
"state": "CT"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tolland, CT
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.