Northeast Spine & Rehab., LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

Legal business name

NORTHEAST SPINE & REHAB., LLC

Practice address

5520 Park Ave
Suite 208
Trumbull, CT 06611-3463

Phone

(203) 368-1192

Fax

(203) 371-0358

NPI assigned

Jun 3, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Ronell Ronley Owens

Title

Official

Phone

(203) 368-1192

Specialties & licenses 1

Addresses

Other names 1

• Northeast Physical Therapy Doing business as

Locations

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

{
    "created_epoch": "1149292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1891733457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5520 PARK AVE",
            "address_2": "SUITE 208",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113463",
            "telephone_number": "203-368-1192",
            "fax_number": "203-371-0358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5520 PARK AVE",
            "address_2": "SUITE 208",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066113463",
            "telephone_number": "203-368-1192",
            "fax_number": "203-371-0358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHEAST SPINE & REHAB., LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-03",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "RONELL",
        "authorized_official_middle_name": "RONLEY",
        "authorized_official_title_or_position": "OFFICIAL",
        "authorized_official_telephone_number": "203-368-1192",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Northeast Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• New England Advanced Spine & Pain Center LLC
• Daria Marie Nola, MAT, ATC, LAT
• Michael Patrick Noonan, M.D.
• Kenneth Joseph Nori, MD
• Northeast Hearing LLC
• Jessie Novoa
• Nutrition and Weight Management Center of Fairfield County, LLC
• Keith Michael O'Donnell, LMFT, APRN
• Jason Richard Oberhand, DDS
• Oculofacial Associates of Connecticut LLC

• All providers in Trumbull, CT
• Physical Therapy Clinic/Center in Connecticut

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