NPIMap

Organization Active NPI

Pediaflex Therapy Center, LLC

  • Pediatric Physical Therapist
  • Wethersfield, CT
National Provider Identifier
1972686533
Registry record updated Feb 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
Legal business name
PEDIAFLEX THERAPY CENTER, LLC
Practice address
465 Silas Deane Hwy
Wethersfield, CT 06109-2134
Phone
(860) 306-6423
Fax
(860) 875-6423
NPI assigned
Oct 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2012

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

Authorized official

Name
Mr. Matthew Kent Luginbuhl, PTNPI 1346323912
Title
Owner/Physical Therapist
Phone
(860) 306-6423

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X Primary

Addresses

Primary practice location

465 Silas Deane Hwy
Wethersfield, CT 06109-2134

Mailing address

84 Snipsic Lake Rd
Ellington, CT 06029-3519
Phone (860) 306-6423

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

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": "1161648000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330300800000",
    "number": "1972686533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 SNIPSIC LAKE RD",
            "city": "ELLINGTON",
            "state": "CT",
            "postal_code": "060293519",
            "telephone_number": "860-306-6423",
            "fax_number": "860-875-6423"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "465 SILAS DEANE HWY",
            "city": "WETHERSFIELD",
            "state": "CT",
            "postal_code": "061092134",
            "telephone_number": "860-306-6423",
            "fax_number": "860-875-6423"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIAFLEX THERAPY CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-24",
        "last_updated": "2012-02-27",
        "status": "A",
        "authorized_official_last_name": "LUGINBUHL",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_middle_name": "KENT",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "860-306-6423",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wethersfield, CT

Sources for this page

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