PRIMARY PHYSICAL MEDICINE LLC NPI 1487190013

NPI Information

  • NPI: 1487190013
  • Provider Name: PRIMARY PHYSICAL MEDICINE LLC
  • Classification: Nurse Practitioner - 363LF0000X
  • Specialization: Family
  • Entity Type: Organization
  • Address: 143 HAZARD AVE
    ENFIELD, CT
    ZIP 06082
  • Phone: (860) 763-2225

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NPI Details

PRIMARY PHYSICAL MEDICINE LLC is a family nurse practitioner in Enfield, CT. PRIMARY PHYSICAL MEDICINE LLC NPI is 1487190013. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

143 HAZARD AVE
ENFIELD, CT
ZIP 06082-521
Phone: (860) 763-2225

The provider's authorized official is Kevin E Sadowski .
The authorized official title is Sole Owner and has the following contact phone number (860) 763-2225.

The enumeration date for this NPI number is 1/6/2017 and was last updated on 1/31/2022.

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
1363LF0000XNurse PractitionerFamily006454CONNECTICUTYes

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: 11/21/2025

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