Spectrum Physical Therapy Limited Partnership

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

Legal business name

SPECTRUM PHYSICAL THERAPY LIMITED PARTNERSHIP

Practice address

80 Stonington Rd
Suite a-3
Mystic, CT 06355-2965

Phone

(860) 536-1699

Fax

(860) 536-1686

NPI assigned

May 14, 2007

Organization subpart

Yes

Parent organization

SPECTRUM PHYSICAL THERAPY LIMITED PARTNERSHIPAs reported in NPPES

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

Authorized official

Name

Janna King, JD

Title

VP, Authorized Official

Phone

(713) 297-7000

Specialties & licenses 1

Addresses

Tax ID family

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

Part of

Spectrum Physical Therapy L

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

  • Physical Therapy Clinic/Center
  • Waterford, CT
  • NPI 1881770360
  NPD tax ID

Locations

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231372800000",
    "number": "1972718567",
    "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": "80 STONINGTON RD",
            "address_2": "SUITE A-3",
            "city": "MYSTIC",
            "state": "CT",
            "postal_code": "063552965",
            "telephone_number": "860-536-1699",
            "fax_number": "860-536-1686"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECTRUM PHYSICAL THERAPY LIMITED PARTNERSHIP",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "SPECTRUM PHYSICAL THERAPY LIMITED PARTNERSHIP",
        "enumeration_date": "2007-05-14",
        "last_updated": "2009-01-08",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "JANNA",
        "authorized_official_title_or_position": "VP, AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "713-297-7000",
        "authorized_official_credential": "JD"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elena Smith
• Michael Smyle, D.D.S.
• Rebecca Soito, DPT
• Jessica W. Sormrude, MED, LCSW
• Spectrum Physical Therapy Limited Partnership
• SSC Mystic Operating Company LLC
• Lauren E. St. Amour, LCSW
• Owen Stanfield
• Julia C Stapans, DPT
• State of CT.- Office of the Comptroller

• Durable Medical Equipment & Medical Supplies in Mystic, CT
• Providers in Mystic, CT by specialty
• Durable Medical Equipment & Medical Supplies in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2009; 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.