Organization Active NPI

Symmetry Physical Therapy, LLC

  • Physical Therapy Clinic/Center
  • Portland, CT
National Provider Identifier
1790023752
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
License
006717 Issued in CT
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, MSPTNPI 1700902210
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 IDStateProvider typePAC IDDetails
O20130923000262 CT Part B Supplier - Clinic/Group Practice 0749427771 Receives reassigned benefits from 3 practitioners
Practice locations: Portland, CT

National Provider Directory

National Provider Directory

Locations

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)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X
Physical Therapy Clinic/Center 261QP2000X 006717 CT Primary

Addresses

NPPES NPI Registry

Primary 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.

Verify at the official NPI Registry.