NPIMap

Organization Active NPI

Valley Physical Therapy & Sports Medicine Services, P.C.

  • Physical Therapist
  • Marlborough, CT
National Provider Identifier
1841381969
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
002232 Issued in CT
Legal business name
VALLEY PHYSICAL THERAPY & SPORTS MEDICINE SERVICES, P.C.
Practice address
14 Jones Hollow Rd Ste 7
Marlborough, CT 06447-1448
Phone
(860) 295-8188
Fax
(860) 295-8976
NPI assigned
Sep 27, 2006
Last updated
Jul 7, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2014

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

Authorized official

Name
Mr. Stephen E. Griffin, PT
Title
President
Phone
(860) 395-7659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 002232 CT Primary

Addresses

Primary practice location

14 Jones Hollow Rd Ste 7
Marlborough, CT 06447-1448

Mailing address

14 Jones Hollow Rd Ste 7
Marlborough, CT 06447-1448
Phone (860) 295-8188

Other identifiers 1

IdentifierTypeStateIssuer
004082525MedicaidCT

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1841381969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "14 JONES HOLLOW RD STE 7",
            "city": "MARLBOROUGH",
            "state": "CT",
            "postal_code": "064471448",
            "telephone_number": "860-295-8188",
            "fax_number": "860-295-8976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14 JONES HOLLOW RD STE 7",
            "city": "MARLBOROUGH",
            "state": "CT",
            "postal_code": "064471448",
            "telephone_number": "860-295-8188",
            "fax_number": "860-295-8976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VALLEY PHYSICAL THERAPY & SPORTS MEDICINE SERVICES, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-27",
        "last_updated": "2014-07-07",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "STEPHEN",
        "authorized_official_middle_name": "E.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "860-395-7659",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CT",
            "license": "002232",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004082525",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marlborough, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2014; 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.