The Orthopaedic & Sports Medicine Center

Primary specialty

SpecialistTaxonomy code 174400000X

Legal business name

THE ORTHOPAEDIC & SPORTS MEDICINE CENTER

Doing business as

The Orthopaedic & Sports Medicine Center

Practice address

1055 Post Rd
Fairfield, CT 06824-6019

Phone

(203) 254-1055

Fax

(203) 319-3367

NPI assigned

Jun 1, 2011

Organization subpart

No

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

Authorized official

Name

Kelly M Poulin

Title

Practice Administrator

Phone

(203) 268-2882

Specialties & licenses 1

Addresses

Other names 1

• The Orthopaedic & Sports Medicine Center Doing business as

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

{
    "created_epoch": "1306886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329350400000",
    "number": "1982998571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "888 WHITE PLAINS RD",
            "city": "TRUMBULL",
            "state": "CT",
            "postal_code": "066114552",
            "telephone_number": "203-268-2882",
            "fax_number": "203-452-3097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 POST RD",
            "city": "FAIRFIELD",
            "state": "CT",
            "postal_code": "068246019",
            "telephone_number": "203-254-1055",
            "fax_number": "203-319-3367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ORTHOPAEDIC & SPORTS MEDICINE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-01",
        "last_updated": "2012-02-16",
        "status": "A",
        "authorized_official_last_name": "POULIN",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRACTICE ADMINISTRATOR",
        "authorized_official_telephone_number": "203-268-2882"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Orthopaedic & Sports Medicine Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jaquelyn Taylor, LCSW
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• Sara Terry, LPC
• Chelsey Testani, LMFT
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• Therapy Beyond Measure
• Therapy Blis
• Therapy Nook LLC
• Joseph James Thimons, O.D

• Specialist in Fairfield, CT
• Providers in Fairfield, CT by specialty
• Specialist in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 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.