NPIMap

Organization Active NPI

Manual Medicine of New England, LLC

  • Family Medicine Physician
  • Hebron, CT
National Provider Identifier
1871656355
Registry record updated Jul 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
041639 Issued in CT
Legal business name
MANUAL MEDICINE OF NEW ENGLAND, LLC
Practice address
105 Main St
Hebron, CT 06248-1519
Phone
(860) 228-1119
Fax
(860) 228-4314
NPI assigned
Dec 18, 2006
Last updated
Jul 13, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2007

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

Authorized official

Name
Ann Sousa, D.O.NPI 1073541538
Title
Owner
Phone
(860) 228-1119

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
Family Medicine Physician 207Q00000X 041639 CT Primary

Addresses

Primary practice location

105 Main St
Hebron, CT 06248-1519

Mailing address

105 Main St
PO Box 636
Hebron, CT 06248-1519
Phone (860) 228-1119

National Provider Directory

National Provider Directory

Locations

105 Main St
Hebron, CT 06248
Phone (860) 228-1119

Practitioners & affiliated clinicians

Practitioners 2

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": "1166400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1184284800000",
    "number": "1871656355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 MAIN ST",
            "address_2": "PO BOX 636",
            "city": "HEBRON",
            "state": "CT",
            "postal_code": "062481519",
            "telephone_number": "860-228-1119",
            "fax_number": "860-228-4314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 MAIN ST",
            "city": "HEBRON",
            "state": "CT",
            "postal_code": "062481519",
            "telephone_number": "860-228-1119",
            "fax_number": "860-228-4314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANUAL MEDICINE OF NEW ENGLAND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-18",
        "last_updated": "2007-07-13",
        "status": "A",
        "authorized_official_last_name": "SOUSA",
        "authorized_official_first_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "860-228-1119",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "041639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hebron, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2007; 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.