Montowese Chiropractic Center LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

License

001238 Issued in CT

Legal business name

MONTOWESE CHIROPRACTIC CENTER LLC

Practice address

202 State St
North Haven, CT 06473-2207

Phone

(203) 985-1577

Fax

(203) 239-4290

NPI assigned

Jul 26, 2005

Organization subpart

No

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

Authorized official

Name

Dr. David Mikos, D.C., P.T.NPI 1104826890

Title

President

Phone

(203) 985-1577

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in CT

Enrollment records 1

Locations

Practitioners 20

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

• David Mikos, D.C., P.T., M.C.T.A.

  • Physical Therapist
  • North Haven, CT
  • NPI 1104826890

  Chiropractor

  Medicare reassignment NPD Authorized official
• Anthony Ah-Mu

  • Athletic Trainer
  • North Haven, CT
  • NPI 1124552039
  NPD (past)
• Christine C Cimino, PT

  • Physical Therapist
  • Wallingford, CT
  • NPI 1750398798
  NPD (past)
• Matthew Edwards, PT, DPT

  • Orthopedic Physical Therapist
  • North Haven, CT
  • NPI 1639785587
  NPD (past)
• Stephen Giblin, DPT

  • Physical Therapist
  • North Haven, CT
  • NPI 1104461854
  NPD (past)
• Todd Lichtfus, M.S., P.T., A.T.C.

  • Physical Therapist
  • North Haven, CT
  • NPI 1972503662
  NPD (past)
• Garrett Linske, DPT

  • Physical Therapist
  • North Haven, CT
  • NPI 1154673614
  NPD (past)
• Michele Volpe Merwin, ATC, LAT, PT, DPT

  • Physical Therapist
  • North Haven, CT
  • NPI 1861093262
  NPD (past)
• Rachel A. Miller, DPT

  • Physical Therapist
  • Trumbull, CT
  • NPI 1619395829
  NPD (past)
• Aeden P. Morley, DPT

  • Physical Therapist
  • North Haven, CT
  • NPI 1134841240
  NPD (past)
• Crystal S Natalino, DPT

  • Physical Therapist
  • North Haven, CT
  • NPI 1457599201
  NPD (past)
• Marie G Nierenberg, P.T.

  • Physical Therapist
  • North Haven, CT
  • NPI 1316053200
  NPD (past)

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

{
    "created_epoch": "1122336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1452643200000",
    "number": "1982604567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 STATE ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732207",
            "telephone_number": "203-985-1577",
            "fax_number": "203-239-4290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 STATE ST",
            "city": "NORTH HAVEN",
            "state": "CT",
            "postal_code": "064732207",
            "telephone_number": "203-985-1577",
            "fax_number": "203-239-4290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MONTOWESE CHIROPRACTIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-26",
        "last_updated": "2016-01-13",
        "status": "A",
        "authorized_official_last_name": "MIKOS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "203-985-1577",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C., P.T."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "CT",
            "license": "001238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008050328",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Saifulla Baig Mirza, RPT
• Lauren Mitchell, APRN
• Lisa Mohr, LCSW
• Monique Proto, LLC
• Montowese Acquisition Operator, LLC
• Montowese Health & Rehabililtation Center
• Montowese Physicians Group
• Aeden P. Morley, DPT
• Stephen F Morley, APRN
• Katherine Morrison, APRN

• Chiropractor in North Haven, CT
• Providers in North Haven, CT by specialty
• Chiropractor in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.