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CONNECTICUT SPINE & SPORTS MEDICINE NPI 1548464530


NPI Information

NPI: 1548464530
Provider Name: CONNECTICUT SPINE & SPORTS MEDICINE
Classification: Physical Therapist - 225100000X
Entity Type: Organization

CLIA Number: 07D2279838

Address:
80 S MAIN ST
MIDDLETOWN, CT
ZIP 06457
Phone: (860) 347-1302
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CONNECTICUT SPINE & SPORTS MEDICINE is a physical therapist in Middletown, CT. The provider is physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:

  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices. CONNECTICUT SPINE & SPORTS MEDICINE NPI is 1548464530. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

80 S MAIN ST
MIDDLETOWN, CT
ZIP 06457-648
Phone: (860) 347-1302
Fax: (860) 347-1305

The provider's authorized official is Gary Vincent Roegiers .
The authorized official title is Owner and has the following contact phone number (860) 347-1302.

The CLIA number assigned to this NPI record is 07D2279838 - other - histopathology read only with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/13/2007 and was last updated on 9/4/2007.


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
1225100000XPhysical Therapist003388CONNECTICUTYes

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
1C02508MEDICARE PIN

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: 5/5/2024

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