NPI Profile for PERFORMANCE PHYSICAL THERAPY SPORTS MEDICINE INC in COLCHESTER, CT.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Hand |
225XH1200X | 67 | Occupational Therapist in Private Practice | |
Geriatrics |
2251G0304X | 65 | Physical Therapist in Private Practice | |
Hand |
2251H1200X | 65 | Physical Therapist in Private Practice | |
Neurology |
2251N0400X | 65 | Physical Therapist in Private Practice | |
Orthopedic |
2251X0800X | 65 | Physical Therapist in Private Practice | |
Physical Therapist |
225100000X | 65 | Physical Therapist in Private Practice | |
Sports |
2251S0007X | 65 | Physical Therapist in Private Practice |
| NPI # | 1225105448 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 11/30/2006 | |
| Last updated | 09/11/2025 - About 9 months ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers | Not Available | |
| Hospital affiliation(s) | Not Available |
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PERFORMANCE PHYSICAL THERAPY & SPORTS MEDICINE, INC
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