Enfield Club Properties, LLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

ENFIELD CLUB PROPERTIES, LLC

Practice address

3 Weymouth Rd
Enfield, CT 06082-6006

Phone

(860) 745-2408

NPI assigned

Apr 3, 2019

Organization subpart

No

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

Authorized official

Name

Brian Ferreira, MSPT

Title

Director of Physical Therapy

Phone

(413) 563-7780

Specialties & licenses 1

Addresses

Other names 1

• Healthtrax Physical Therapy Doing business as

Electronic endpoints 1

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

{
    "created_epoch": "1554249600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1554249600000",
    "number": "1952863524",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WEYMOUTH RD",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060826006",
            "telephone_number": "860-745-2408"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WEYMOUTH RD",
            "city": "ENFIELD",
            "state": "CT",
            "postal_code": "060826006",
            "telephone_number": "860-745-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENFIELD CLUB PROPERTIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-03",
        "last_updated": "2019-04-03",
        "status": "A",
        "authorized_official_last_name": "FERREIRA",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_title_or_position": "DIRECTOR OF PHYSICAL THERAPY",
        "authorized_official_telephone_number": "413-563-7780",
        "authorized_official_credential": "MSPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "bferreira@healthtrax.net",
            "affiliation": "N",
            "address_1": "3 Weymouth Rd",
            "city": "Enfield",
            "state": "CT",
            "country_code": "US",
            "postal_code": "060826006",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Healthtrax Physical Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Physical Therapist in Enfield, CT
• Providers in Enfield, CT by specialty
• Physical Therapist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.