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TIMOTHY DURANT PHYSICAL THERAPY LLC NPI 1639209026


NPI Information

NPI: 1639209026
Provider Name: TIMOTHY DURANT PHYSICAL THERAPY LLC
Classification: Specialist - 174400000X
Entity Type: Organization
Address:
2928 MAIN ST STE 2
GLASTONBURY, CT
ZIP 06033
Phone: (860) 430-2344
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TIMOTHY DURANT PHYSICAL THERAPY LLC is a specialist in Glastonbury, CT. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. TIMOTHY DURANT PHYSICAL THERAPY LLC NPI is 1639209026. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2928 MAIN ST STE 2
GLASTONBURY, CT
ZIP 06033-007
Phone: (860) 430-2344
Fax: (860) 430-2349

The provider's authorized official is Timothy L Durant .
The authorized official title is Mspt and has the following contact phone number (860) 430-2344.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 11/22/2021.


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
1174400000XSpecialist005973CONNECTICUTYes

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
17496257OTHERCONNECTICUTCIGNA PPO ONLY
20249401OTHERCONNECTICUTORTHONET INSURANCE
3574277OTHERCONNECTICUTAETNA INSURANCE

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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