Organization Active NPI

Integrated Physical Therapy LLC

  • Physical Therapist
  • Hartford, CT
National Provider Identifier
1811032774
Registry record updated Jul 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
005575 Issued in CT
Legal business name
INTEGRATED PHYSICAL THERAPY LLC
Practice address
609 Farmington Ave
Suite 103
Hartford, CT 06105-3081
Phone
(860) 241-1144
Fax
(860) 241-1188
NPI assigned
Feb 20, 2007
Last updated
Jul 31, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 31, 2012

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

Authorized official

Name
Ms. Debra J. Horn, P.T.NPI 1457520959
Title
Owner, Physical Therapist
Phone
(860) 241-1144

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 005575 CT Primary

Addresses

Primary practice location

609 Farmington Ave
Suite 103
Hartford, CT 06105-3081

Mailing address

609 Farmington Ave
Suite 103
Hartford, CT 06105-3081
Phone (860) 241-1144

National Provider Directory

National Provider Directory

Locations

100 Wells St
Ste 1A
Hartford, CT 06103
Phone (860) 241-1144

609 Farmington Ave
Ste 103
Hartford, CT 06105
Phone (860) 241-1144

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1171929600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343692800000",
    "number": "1811032774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "609 FARMINGTON AVE",
            "address_2": "SUITE 103",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061053081",
            "telephone_number": "860-241-1144",
            "fax_number": "860-241-1188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 FARMINGTON AVE",
            "address_2": "SUITE 103",
            "city": "HARTFORD",
            "state": "CT",
            "postal_code": "061053081",
            "telephone_number": "860-241-1144",
            "fax_number": "860-241-1188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATED PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-20",
        "last_updated": "2012-07-31",
        "status": "A",
        "authorized_official_last_name": "HORN",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "860-241-1144",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "005575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.