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CHESHIRE FITNESS ZONE LLC NPI 1205961547


NPI Information

NPI: 1205961547
Provider Name: CHESHIRE FITNESS ZONE, LLC
Classification: Physical Therapist - 2251P0200X
Entity Type: Organization

Specialization: Pediatrics

Address:
382 S MAIN ST
CHESHIRE, CT
ZIP 06410
Phone: (203) 250-9663
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CHESHIRE FITNESS ZONE, LLC is a pediatrics physical therapist in Cheshire, CT. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Pediatric Physical Therapy, who has demonstrated specialized knowledge and skill in anatomy, histology, including embryonic development, genetics, biomechanics, neurological function, neuroscience, and pathology, behavioral sciences, and understanding of diseases or conditions that necessitate physical therapy care, that affect systems that in turn necessitate physical therapy care (comorbidities), and that influence the type of intervention that can be given. CHESHIRE FITNESS ZONE, LLC NPI is 1205961547. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

382 S MAIN ST
CHESHIRE, CT
ZIP 06410-379
Phone: (203) 250-9663
Fax: (203) 699-9641

The provider's authorized official is Craig M. Goldstein .
The authorized official title is Owner and has the following contact phone number (203) 250-9663.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 6/29/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist005678CONNECTICUTNo
2225XP0200XOccupational TherapistPediatrics002758CONNECTICUTNo
3235Z00000XSpeech-Language Pathologist003550CONNECTICUTNo
42251P0200XPhysical TherapistPediatrics005678CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1130002758CT01OTHERCONNECTICUTBCBS
264-04292OTHERCONNECTICUTUNITED HEALTHCARE
3754954OTHERCONNECTICUTCONNECTICARE
42V8125OTHERCONNECTICUTHEALTHNET - ID
512701OTHERCONNECTICUTCIGNA - ORTHONET ID
6004209674MEDICAIDCONNECTICUT
70100901OTHERCONNECTICUTBCBS ORTHONET
812701OTHERCONNECTICUTCIGNA ORTHONET
92370736OTHERCONNECTICUTAETNA - PROVIDER ID
103672389002OTHERCONNECTICUTCIGNA - PROVIDER ID
1150CHESFITCT01OTHERCONNECTICUTBCBS-CHESHIRE FITNESS ZONE, FACILITY
12754954OTHERCONNECTICUTCONNECTICARE - ID
139168247OTHERCONNECTICUTAETNA
14A2646342OTHERCONNECTICUTOXFORD HEALTHCARE ID
152370736OTHERCONNECTICUTAETNA
163672389002OTHERCONNECTICUTCIGNA
170100901OTHERCONNECTICUTAETNA ORTHONET
180800005678CT01OTHERCONNECTICUTBCBS-CRAIG GOLDSTEIN, PT
1961594157OTHERCONNECTICUTMEDSPAN
20660003550CT01OTHERCONNECTICUTBCBS
21080005678CT01OTHERCONNECTICUTBCBS - PROVIDER ID
22100901OTHERCONNECTICUTHEALTHNET ORTHONET - ID
231257980OTHERCONNECTICUTCIGNA
2464-04292OTHERCONNECTICUTUNITED HEALTHCARE ID
259044356OTHERCONNECTICUTAETNA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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