Milford Sport & Spine LLC

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

MILFORD SPORT & SPINE LLC

Practice address

213 New Haven Ave FL 1
Milford, CT 06460-4830

Phone

(203) 783-9720

NPI assigned

Oct 16, 2024

Last updated

Jan 24, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Edmond Michael Daniells, DCNPI 1871901132

Title

Owner/Chiropractor

Phone

(203) 589-2782

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

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.

• Edmond Michael Daniells, D.C.

  • Chiropractor
  • Milford, CT
  • NPI 1871901132
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1729036800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737676800000",
    "number": "1811717457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "552 TREAT LN",
            "city": "ORANGE",
            "state": "CT",
            "postal_code": "064772740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 NEW HAVEN AVE FL 1",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064604830",
            "telephone_number": "203-783-9720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MILFORD SPORT & SPINE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-16",
        "last_updated": "2025-01-24",
        "certification_date": "2025-01-24",
        "status": "A",
        "authorized_official_last_name": "DANIELLS",
        "authorized_official_first_name": "EDMOND",
        "authorized_official_middle_name": "MICHAEL",
        "authorized_official_title_or_position": "OWNER/CHIROPRACTOR",
        "authorized_official_telephone_number": "203-589-2782",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Milford Pharmacy and Home Care, Inc
• Milford Physician Services (Seaside OB-GYN of Milford)
• Milford Physician Services PC
• Milford Podiatry Associates PC (Connecticut Foot Surgery Center)
• Milford Podiatry Associates, P.C. (New Haven Foot Surgeons)
• Milford Vascular Institute, PC
• Evan Miller
• Megan Miller
• Mindful Grace Counseling PLLC
• Mindful Solutions LLC

• Clinic/Center in Milford, CT
• Providers in Milford, CT by specialty
• Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2025; 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.