Spectrum Physical Therapy Limited Partnership

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

SPECTRUM PHYSICAL THERAPY LIMITED PARTNERSHIP

Practice address

86 Boston Post Rd
Suite 1
Waterford, CT 06385-2421

Phone

(860) 444-8713

Fax

(860) 444-1671

NPI assigned

Oct 27, 2006

Organization subpart

No

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

Authorized official

Name

Richard Binstein, JD

Title

VP/Authorized Official

Phone

(713) 297-7000

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Spectrum Physical Therapy Limited Partnership

  • Physical Therapy Clinic/Center
  • Mystic, CT
  • NPI 1134205610

  O20020910000000

  Same enrollment

Tax ID family

Spectrum Physical Therapy L4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Spectrum Physical Therapy Limited Partnership

  • Physical Therapy Clinic/Center
  • Mystic, CT
  • NPI 1134205610
  NPD tax ID
• Spectrum Physical Therapy Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Waterford, CT
  • NPI 1801001367
  NPD tax ID
• Spectrum Physical Therapy Limited Partnership

  • Durable Medical Equipment & Medical Supplies
  • Mystic, CT
  • NPI 1972718567
  NPD tax ID

Locations

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

{
    "created_epoch": "1161907200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427414400000",
    "number": "1881770360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1300 W SAM HOUSTON PKWY S",
            "address_2": "SUITE 300",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770422447",
            "telephone_number": "713-297-7000",
            "fax_number": "713-297-7090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "86 BOSTON POST RD",
            "address_2": "SUITE 1",
            "city": "WATERFORD",
            "state": "CT",
            "postal_code": "063852421",
            "telephone_number": "860-444-8713",
            "fax_number": "860-444-1671"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM PHYSICAL THERAPY LIMITED PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-27",
        "last_updated": "2015-03-27",
        "status": "A",
        "authorized_official_last_name": "BINSTEIN",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_title_or_position": "VP/AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-297-7000",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Southeastern Connecticut Imaging Center, LLC
• Southern New England Anesthesia Partners, PLLC
• Melina Spanos, NP
• Sparrows Worth Wellness Services
• Spectrum Physical Therapy Limited Partnership
• Reuben Taylor Spitz, PHD
• Desiree Ann Spooner, PT
• Wendy Lee St George, LPC
• Kaitlyn Staal, ND, MSAC
• Erin Worgul Stankiewicz, AU.D.

• Physical Therapy Clinic/Center in Waterford, CT
• Providers in Waterford, CT by specialty
• Physical Therapy Clinic/Center in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2015; 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.