Quinnipiac Physical Therapy & Sports Medicine PC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

QUINNIPIAC PHYSICAL THERAPY & SPORTS MEDICINE PC

Practice address

202 State St
North Haven, CT 06473-2207

Phone

(203) 239-4274

Fax

(203) 239-4290

NPI assigned

Jul 26, 2005

Organization subpart

No

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

Authorized official

Name

Mr. David Mikos, D.C., P.T., M.C.T.A.NPI 1104826890

Title

President

Phone

(203) 239-4274

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 15

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• David Mikos, D.C., P.T., M.C.T.A.

  • Physical Therapist
  • North Haven, CT
  • NPI 1104826890
  Medicare reassignment Care Compare group NPD Authorized official
• Christine C Cimino, PT

  • Physical Therapist
  • Wallingford, CT
  • NPI 1750398798
  Medicare reassignment Care Compare group NPD
• Stephen Giblin, DPT

  • Physical Therapist
  • North Haven, CT
  • NPI 1104461854
  Medicare reassignment Care Compare group NPD
• Aeden P. Morley, DPT

  • Physical Therapist
  • North Haven, CT
  • NPI 1134841240
  Medicare reassignment Care Compare group NPD
• Matthew Edwards, PT, DPT

  • Orthopedic Physical Therapist
  • North Haven, CT
  • NPI 1639785587
  Medicare reassignment NPD
• Dustin Matthew Gartner, DPT, OCS

  • Physical Therapist
  • Plano, TX
  • NPI 1811238470

  CT

  Medicare reassignment NPD
• Anthony Ah-Mu

  • Athletic Trainer
  • North Haven, CT
  • NPI 1124552039
  NPD
• Garrett Linske, DPT

  • Physical Therapist
  • North Haven, CT
  • NPI 1154673614
  NPD
• Todd Lichtfus, M.S., P.T., A.T.C.

  • Physical Therapist
  • North Haven, CT
  • NPI 1972503662
  NPD (past)
• Crystal S Natalino, DPT

  • Physical Therapist
  • North Haven, CT
  • NPI 1457599201
  NPD (past)
• Mackie D Sheckfee, DPT

  • Physical Therapist
  • Derby, CT
  • NPI 1407089071
  NPD (past)
• Keith Steigbigel, P.T., C.S.C.S.

  • Physical Therapist
  • Milford, CT
  • NPI 1609876119
  NPD (past)

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1801896485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 STATE ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732207",
            "telephone_number": "203-239-4274",
            "fax_number": "203-239-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 STATE ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732207",
            "telephone_number": "203-239-4274",
            "fax_number": "203-239-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUINNIPIAC PHYSICAL THERAPY & SPORTS MEDICINE PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "MIKOS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-239-4274",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.C., P.T., M.C.T.A."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004215407",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Professional Hearing Services, LLC
• Monique Proto, ATR, LPC
• Ptsma, Inc. (Select Physical Therapy)
• James Edward Pucci, D.M.D.
• Pulmonary Function Cooperative LLC
• Quinnipiack Valley Health District
• Lorraine Rabach, DMD
• Martin Mitchell Rabach, DDS
• Mariella Racamato, OTR/L
• Rachel Collins, LPC

• Physical Therapist in North Haven, CT
• Providers in North Haven, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; 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.