Sean Christopher Connolly, DPT, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

14273 Issued in CT

Practice address

30 Controls Dr
Shelton, CT 06484-6157

Phone

(203) 513-8424

NPI assigned

Mar 4, 2024

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Moving With Health Oriented Physical Education, Inc.

  • Physical Medicine & Rehabilitation Physician
  • Shelton, CT
  • NPI 1700367968

  Physical Therapist

  Medicare reassignment NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1709510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1801653233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 BLAKE ST APT 2105",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065154411",
            "telephone_number": "203-909-0847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 CONTROLS DR",
            "city": "SHELTON",
            "state": "CT",
            "postal_code": "064846157",
            "telephone_number": "203-513-8424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONNOLLY",
        "first_name": "SEAN",
        "middle_name": "CHRISTOPHER",
        "credential": "DPT, PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-03-04",
        "last_updated": "2024-03-04",
        "certification_date": "2024-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "14273",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connecticut Health and Wellness
• Connecticut Orthopaedic Specialists, PC
• Connecticut Orthopaedic Specialists, PC
• Connecticut Skinhealth LLP
• Connecticut Vascular Surgical Associates, PC
• Continuum Rides LLC
• Copper Canyon Care PC
• Christa Coppola, LMFT
• Coreverity, LLC
• Corporate Pharmacy Corp

• Physical Therapist in Shelton, CT
• Providers in Shelton, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 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.