Organization Active NPI

Valley Physical Therapy, LLC

  • Specialist
  • Marlborough, CT
National Provider Identifier
1841525904
Registry record updated Jul 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
VALLEY PHYSICAL THERAPY, LLC
Practice address
14 Jones Hollow Rd Ste 7
Marlborough, CT 06447-1448
Phone
(860) 295-8188
Fax
(860) 295-8976
NPI assigned
Oct 7, 2009
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
Owner / Member
Phone
(860) 395-7659

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 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 3

IdentifierTypeStateIssuer
004082525MedicaidCT
A470723OtherOXFORD
43247OtherAETNA

National Provider Directory

National Provider Directory

Locations

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

Practitioners & affiliated clinicians

Practitioners 27

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 27

NPI Registry JSON

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

{
    "created_epoch": "1254873600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1404691200000",
    "number": "1841525904",
    "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, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-07",
        "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": "OWNER / MEMBER",
        "authorized_official_telephone_number": "860-395-7659",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004082525",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "A470723",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "43247",
            "state": null
        }
    ],
    "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.