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NORTHEAST SPINE & REHAB. LLC NPI 1891733457


NPI Information

NPI: 1891733457
Provider Name: NORTHEAST SPINE & REHAB., LLC

Doing Business As: NORTHEAST PHYSICAL THERAPY

Classification: Clinic/Center - 261QP2000X
Entity Type: Organization

Specialization: Physical Therapy

CLIA Number: 07D2281292

Address:
5520 PARK AVE
SUITE 208
TRUMBULL, CT
ZIP 06611
Phone: (203) 368-1192
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NORTHEAST SPINE & REHAB., LLC is a physical therapy clinic center in Trumbull, CT. The provider is an entity, facility, or distinct part of a facility providing diagnostic and treatment services related to physical rehabilitation. Physical therapy is a dynamic profession with an established theoretical and scientific base and widespread clinical applications in the restoration, maintenance, and promotion of optimal physical function. Physical therapists and physical therapist assistants are licensed health care professionals who are experts in the movement system and help individuals maintain, restore, and improve movement, activity, and functioning, thereby enabling optimal performance and enhancing health, well-being, and quality of life. Their services prevent, minimize, or eliminate impairments of body functions and structures, activity limitations, and participation restrictions. Physical therapy is provided for individuals of all ages who have or may develop impairments, activity limitations, and participation restrictions related to (1) conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems or (2) the negative effects attributable to unique personal and environmental factors as they relate to human performance. NORTHEAST SPINE & REHAB., LLC NPI is 1891733457. The provider is registered as an organization entity type.
The provider Is Doing Business As Northeast Physical Therapy.

The provider's business location address is:

5520 PARK AVE
SUITE 208
TRUMBULL, CT
ZIP 06611-463
Phone: (203) 368-1192
Fax: (203) 371-0358

The provider's authorized official is Ronell Ronley Owens .
The authorized official title is Official and has the following contact phone number (203) 368-1192.

The CLIA number assigned to this NPI record is 07D2281292 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/3/2006 and was last updated on 11/27/2007.


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
1261QP2000XClinic/CenterPhysical TherapyYes

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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