SUNDANCE REHABILITATION AGENCY INC (NPI# 1235184201) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1235184201 |
Entity Type | Organization |
Organization Name | SUNDANCE REHABILITATION AGENCY INC |
Other Organization Name | SUNDANCE REHABILIATION AGENCY OF CONNECTICUT |
Practice Address |
628 Congdon Street West Middletown CT 06457-1967 |
Mailing Address |
200 Northpointe Cir Suite 302 Seven Fields PA 16046-7861 |
Practice Telephone | 8603477144 |
Practice Fax Number | 8603473942 |
Mailing Telephone | 7248315044 |
Mailing Fax Number | 6106125459 |
Enumeration Date | 2006-05-24 |
Last Update Date | 2013-10-02 |
Authorized Official Name | DANIEL A HIRSCHFELD (PRESIDENT) |
Authorized Official Telephone | 6104446350 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
N/A | Ambulatory Health Care Facilities | |
Y | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
SunDance Rehabiliation Agency of Connecticut | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871548842 | Sundance Rehabilitation Agency Inc | Clinic/Center | 2480 N Park Rd, Hollywood, FL 33021-3744 | 2006-05-24 |
1811354020 | Sundance Rehabilitation Agency Inc | Physical Therapist | 110 Cherry St, C/o Soldier's Home, Holyoke, MA 01040-7002 | 2016-01-19 |
1740688985 | Sundance Rehabilitation Agency Inc | Clinic/Center | 1657 Silverton Rd, C/o Chelsea At Toms River, Toms River, NJ 08753-1400 | 2014-12-19 |
1699720664 | Sundance Rehabilitation Agency Inc | Clinic/Center | 931 Buena Vista St, Suite 307, Duarte, CA 91010-1712 | 2006-05-24 |
Street Address |
628 CONGDON STREET WEST |
City | MIDDLETOWN |
State | CT |
Zip Code | 06457-1967 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
Find all providers in zip 06457 |
Taxonomy Code | 261QR0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Rehabilitation |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1568820033 | Connecticut Brace and Limb | Clinic/Center | 512 Saybrook Rd, Lower Level, Middletown, CT 06457-4788 | 2016-01-29 |
1841570884 | Weber Pediatric Therapy, LLC | Clinic/Center | 1676 Highway 35, Middletown, NJ 07748-1832 | 2011-08-22 |
1053517201 | Stony Ford Foundation Inc | Clinic/Center | 390 Crystal Run Rd, Suit 105, Middletown, NY 10941 | 2007-06-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861003725 | Amazing Achievements Occupational Therapy, Pllc | Clinic/Center | 174 Morgan Rd, Canton, CT 06019-2034 | 2020-08-13 |
1396354908 | Ptsma, Inc. | Clinic/Center | 150 Washington Blvd, Stamford, CT 06902-8904 | 2020-07-29 |
1285263129 | Ptsma, Inc. | Clinic/Center | 100 Division St Unit 70, Ansonia, CT 06401-2147 | 2020-04-03 |
1306472576 | Ptsma, Inc. | Clinic/Center | 285 Nicoll St, New Haven, CT 06511-2625 | 2020-03-19 |
1619522547 | Ptsma, Inc. | Clinic/Center | 3 A Candlewood Hill Rd, Higganum, CT 06441 | 2019-08-07 |
1033773759 | Ptsma, Inc. | Clinic/Center | 37 S Broad St Unit 12, Pawcatuck, CT 06379-7909 | 2019-04-29 |
1417467879 | Onecalltherapy,llc | Clinic/Center | 193 N Parker Hill Rd, Killingworth, CT 06419-1124 | 2017-10-11 |
1568985166 | Napa Center, Inc. | Clinic/Center | 97 South St Ste 112, West Hartford, CT 06110-1960 | 2017-07-25 |
1477993749 | Stamford Rehabilitation Associates | Clinic/Center | 110 Prospect St Ste 3, Stamford, CT 06901-1203 | 2013-07-01 |
1730137753 | Gaylord Hospital, Inc. | Clinic/Center | Gaylord Farm Rd., Wallingford, CT 06492 | 2006-05-04 |
Find all providers with the same taxonomy |
City | MIDDLETOWN |
Zip Code | 06457 |
Please comment or provide details below to improve the information on SUNDANCE REHABILITATION AGENCY INC.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.