CONNECTICUT BACK CENTER LLC (NPI# 1245837384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245837384 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT BACK CENTER LLC |
| Practice Address |
460 Hartford Tpke Ste B Vernon CT 06066-4847 |
| Practice Telephone | 8608726229 |
| Practice Fax Number | 8608726252 |
| Mailing Telephone | 8608726229 |
| Mailing Fax Number | 8608726252 |
| Enumeration Date | 2020-10-01 |
| Last Update Date | 2020-10-01 |
| Authorized Official Name | JESSE EISLER (OWNER) |
| Authorized Official Telephone | 8602683349 |
| Authorized Official Credential | MD |
| Is Organization Subpart | Y |
| Parent Organization Name | CONNECTICUT BACK CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174564942 | Connecticut Back Center LLC | Orthopaedic Surgery | 460 Hartford Tpke, Suite B, Vernon, CT 06066-4845 | 2006-06-10 |
| Street Address |
460 HARTFORD TPKE STE B |
| City | VERNON |
| State | CT |
| Zip Code | 06066-4847 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659992204 | Kumeh Bestman | Social Worker | 41 Jeff Road, Vernon, CT 06066 | 2020-05-05 |
| 1114567922 | Irina Bratan | Nurse Practitioner | 35 Talcottvile Road, Vernon, CT 06066 | 2020-01-09 |
| 1457833899 | Jessica Elizabeth Navallil | Pharmacist | 188 Union Street, Vernon, CT 06066 | 2018-09-02 |
| 1528557709 | Andre Spence | Counselor | 66 Orchard St, Vernon, CT 06066 | 2018-05-03 |
| 1992207468 | Myeyedr Optometry of Connecticut, LLC | Optometrist | 400-1 Talcottville Rd, Vernon, CT 06066 | 2018-03-01 |
| 1811425754 | Patricia Cosgrove Barresi | Occupational Therapy Assistant | 1253 Hartford Turnpike, Vernon, CT 06066 | 2017-05-23 |
| 1922539592 | Ctuc01 | Clinic/Center | 179 Talcottville Rd, Vernon, CT 06066 | 2017-03-24 |
| 1558804070 | First Choice Health Centers, Inc. | Clinic/Center | 94 Union Sreet, 2nd Floor, Vernon, CT 06066 | 2016-12-01 |
| 1235685504 | Lotus Behavioral Consultation | Day Training, Developmentally Disabled Services | 3 Raymond Street, Vernon, CT 06066 | 2016-08-28 |
| 1891179537 | Heather Deal | Nurse Practitioner | 347 Hartford Turnpike, Vernon, CT 06066 | 2015-07-13 |
| Find all providers in zip 06066 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780290882 | Jacob Chwiedz | Physical Therapist | 179 Linwood Ave Unit A-4, Colchester, CT 06415-1160 | 2020-09-23 |
| 1578174488 | Michael G Giambrone | Physical Therapist | 19 Old Kings Hwy S, Darien, CT 06820-4533 | 2020-08-13 |
| 1841809373 | Connecticut Orthopaedic Specialists, PC | Physical Therapist | 3 Liesl Ln, Branford, CT 06405-3036 | 2020-07-30 |
| 1093227902 | Nicholas A Bessette | Physical Therapist | 140 Main St Ste 4b, Middletown, CT 06457-3437 | 2017-11-01 |
| 1588051510 | Physical Therapy Arts LLC | Physical Therapist | 96 Rt. 37, New Fairfield, CT 06812 | 2015-04-16 |
| 1578954459 | Shanya Stearns | Physical Therapist | 65a Albany Tpke, Canton, CT 06019-2507 | 2015-02-12 |
| 1497145536 | Tiffany Sudol | Physical Therapist | 1445 E Putnam Ave Ste 2, Old Greenwich, CT 06870-1377 | 2015-01-28 |
| 1093115404 | Core Balance Physical Therapy, LLC | Physical Therapist | 22 Knapp St, Suite 303, Stamford, CT 06907-1700 | 2014-09-04 |
| 1730440736 | Michael James Staropoli | Physical Therapist | 1555 Post Rd E, Westport, CT 06880-5671 | 2012-06-06 |
| 1619241676 | Maria-elena Elena Mouser | Physical Therapist | 100 Wells Street Suite 1b, Connecticut Orthopedic Rehabilitation Associates, Hartford, CT 06103 | 2012-03-08 |
| Find all providers with the same taxonomy | ||||
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| 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.