1770609299 NPI number — PERFORMANCE PHYSICAL THERAPY OF CT

Table of content: LACIE SPEED (NPI 1215481502)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1770609299 NPI number — PERFORMANCE PHYSICAL THERAPY OF CT

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
PERFORMANCE PHYSICAL THERAPY OF CT
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
PERFORMANCE PHYSICAL THERAPY
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1770609299
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/03/2014
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
35 RIVER RD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
COS COB
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06807-2717
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
203-422-0679
Provider Business Mailing Address Fax Number:
203-422-0931

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
35 RIVER RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
COS COB
Provider Business Practice Location Address State Name:
CT
Provider Business Practice Location Address Postal Code:
06807-2717
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
203-422-0679
Provider Business Practice Location Address Fax Number:
203-422-0931
Provider Enumeration Date:
03/22/2007

Additional Information

Authorized Official

Authorized Official Last Name:
WILKOWSKI
Authorized Official First Name:
TODD
Authorized Official Middle Name:
MICHAEL
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
203-422-0679

Provider Taxonomy Codes

  • Taxonomy code: 225100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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