Active NPI
Symmetry Physical Therapy, LLC
- Physical Therapy Clinic/Center
- Portland, CT
National Provider Identifier
1790023752
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- License
- 006717
- Legal business name
- SYMMETRY PHYSICAL THERAPY, LLC
- Practice address
- 269 Main St
Portland, CT 06480-1857 - Phone
- (860) 788-7976
- Fax
- (877) 532-7987
- NPI assigned
- Jan 26, 2013
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Keith Arcari, MSPT
- Title
- Ceo
- Phone
- (860) 788-7976
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Medicare enrollment records 1
Medicare enrollment files| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20130923000262 | CT | Part B Supplier - Clinic/Group Practice | 0749427771 |
Receives reassigned benefits from 3 practitioners Practice locations: Portland, CT |
National Provider Directory
National Provider DirectoryLocations
269 Main St
Portland, CT 06480
Phone (860) 788-7976
270 Main St
Ste B
Portland, CT 06480
Specialties & licenses 2
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | |||
| Physical Therapy Clinic/Center | 261QP2000X | 006717 | CT | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
269 Main St
Portland, CT 06480-1857
Mailing address
269 Main St
Portland, CT 06480-1857
Phone (860) 788-7976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 31, 2024.
{
"created_epoch": "1359158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730332800000",
"number": "1790023752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "269 MAIN ST",
"city": "PORTLAND",
"state": "CT",
"postal_code": "064801857",
"telephone_number": "860-788-7976",
"fax_number": "877-532-7987"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "269 MAIN ST",
"city": "PORTLAND",
"state": "CT",
"postal_code": "064801857",
"telephone_number": "860-788-7976",
"fax_number": "877-532-7987"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SYMMETRY PHYSICAL THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-01-26",
"last_updated": "2024-10-31",
"certification_date": "2024-10-31",
"status": "A",
"authorized_official_last_name": "ARCARI",
"authorized_official_first_name": "KEITH",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "860-788-7976",
"authorized_official_credential": "MSPT"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": "CT",
"license": "006717",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Portland, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; 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.