PHYSICAL MEDICINE & REHABILITATION OF HARTFORD LLC NPI 1346246931

NPI Information

  • NPI: 1346246931
  • Provider Name: PHYSICAL MEDICINE & REHABILITATION OF HARTFORD LLC
  • Classification: Clinic/Center - 261QM1300X
  • Specialization: Multi-Specialty
  • Entity Type: Organization
  • Address: 35 JOLLEY DR
    STE 101
    BLOOMFIELD, CT
    ZIP 06002
  • Phone: (860) 243-3434

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NPI Details

PHYSICAL MEDICINE & REHABILITATION OF HARTFORD LLC is a multi-specialty clinic center in Bloomfield, CT. PHYSICAL MEDICINE & REHABILITATION OF HARTFORD LLC NPI is 1346246931. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

35 JOLLEY DR
STE 101
BLOOMFIELD, CT
ZIP 06002
Phone: (860) 243-3434
Fax: (860) 243-0208

The provider's authorized official is David A Feingold .
The authorized official title is President and has the following contact phone number (860) 243-3434.

The enumeration date for this NPI number is 6/28/2005 and was last updated on 5/15/2018.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208100000XPhysical Medicine & Rehabilitation035179CONNECTICUTNo
22081P0010XPhysical Medicine & RehabilitationPediatric Rehabilitation Medicine035179CONNECTICUTNo
3261QM1300XClinic/CenterMulti-SpecialtyYes
4261QR0400XClinic/CenterRehabilitation035179CONNECTICUTNo
52081N0008XPhysical Medicine & RehabilitationNeuromuscular Medicine035179CONNECTICUTNo

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1004251302MEDICAIDCONNECTICUT

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: 3/30/2025

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