NPIMap

Organization Active NPI

The Perfect Workout

  • Rehabilitation Clinic/Center
  • Avon, CT
National Provider Identifier
1891789608
Registry record updated Apr 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation Clinic/CenterTaxonomy code 261QR0400X
Legal business name
THE PERFECT WORKOUT
Practice address
31 Ensign Dr
Avon, CT 06001-3773
Phone
(860) 409-9125
Fax
(860) 674-8031
NPI assigned
Sep 7, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 10, 2012

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

Authorized official

Name
Mr. Matthew Francis St Thomas, ATC
Title
Owner/Member
Phone
(860) 409-9125

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251S0007X
Orthopedic Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251X0800X
Rehabilitation Clinic/Center 261QR0400X CT Primary

Addresses

Primary practice location

31 Ensign Dr
Avon, CT 06001-3773

Mailing address

31 Ensign Dr
Avon, CT 06001-3773
Phone (860) 409-9125

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1126051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1334016000000",
    "number": "1891789608",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31 ENSIGN DR",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013773",
            "telephone_number": "860-409-9125",
            "fax_number": "860-674-8031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "31 ENSIGN DR",
            "city": "AVON",
            "state": "CT",
            "postal_code": "060013773",
            "telephone_number": "860-409-9125",
            "fax_number": "860-674-8031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE PERFECT WORKOUT",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-07",
        "last_updated": "2012-04-10",
        "status": "A",
        "authorized_official_last_name": "ST THOMAS",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "FRANCIS",
        "authorized_official_title_or_position": "OWNER/MEMBER",
        "authorized_official_telephone_number": "860-409-9125",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ATC"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Sports",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Orthopedic",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QR0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation",
            "state": "CT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Avon, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2012; 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.