EASTERN CONNECTICUT REHABILITATION CENTERS (NPI# 1275542219) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275542219 |
| Entity Type | Organization |
| Organization Name | EASTERN CONNECTICUT REHABILITATION CENTERS |
| Practice Address |
2 B Lee Road Lisbon CT 06351 |
| Mailing Address |
Po Box 425 Dayville CT 06241-0425 |
| Practice Telephone | 8603762564 |
| Practice Fax Number | 8603764812 |
| Mailing Telephone | 8603762564 |
| Mailing Fax Number | 8603764812 |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2016-04-25 |
| Authorized Official Name | MR. CARL REMI MAILHOT (OWNER EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8603762564 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
CT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | ORTHNET CIGNA | 14103 | 01 |
| CT | 004189024 | 05 | |
| CT | HEALTHNET | OV3122 | 01 |
| CT | HEALTHY CT | 523414G | 01 |
| CT | CONNECTICARE | 703332 | 01 |
| CT | OXFORD | A2752221 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538257282 | Eastern Connecticut Rehabilitation Centers | Physical Therapist | 2b Lee Rd, Lisbon, CT 06351-3042 | 2006-10-10 |
| 1619986619 | Eastern Connecticut Rehabilitation Centers | Clinic/Center | 165 Hartford Pike, Dayville, CT 06241-1556 | 2006-08-07 |
| 1598774507 | Eastern Connecticut Rehabilitation Centers | Clinic/Center | 121 Broadway, Colchester, CT 06415 | 2006-08-07 |
| 1952310971 | Eastern Connecticut Rehabilitation Centers | Clinic/Center | 2b Lee Rd, Lisbon, CT 06351-3042 | 2006-08-07 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | EASTERN CONNECTICUT REHABILITATION CENTERS, LLC | 150 Otrobando Ave., Norwich, CT 06360 |
| Street Address |
2 B LEE ROAD |
| City | LISBON |
| State | CT |
| Zip Code | 06351 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659617058 | Erin Haggan | Social Worker | 55 Dina Ln, Griswold, CT 06351 | 2012-12-13 |
| 1750554788 | Lisbon Central School | Local Education Agency (LEA) | 15 Newent Road, Lisbon, CT 06351 | 2008-04-10 |
| 1699953729 | Joel Zuckerbraun Odpl | Optometrist | 8 North Main Street, Jewett City, CT 06351 | 2008-01-31 |
| 1841260106 | Sasha B Campbell | Physical Therapist | 2b Lee Road, Lisbon, CT 06351 | 2006-01-26 |
| 1316296502 | Kelsey Lyn Joslyn | Counselor | 226 E Main St, Griswold, CT 06351 | 2012-09-04 |
| 1124183660 | Jason Edward Cavanaugh | Optometrist | 180 River Rd, Lisbon, CT 06351 | 2006-12-26 |
| 1952310955 | Penny Anne Allyn | Physical Therapist | 2b Lee Road, Lisbon, CT 06351 | 2006-08-07 |
| 1578572574 | Audrey Jo Traylor | Physical Therapist | 2b Lee Road, Lisbon, CT 06351 | 2006-08-07 |
| 1265434583 | Mark David Deponte | Family Medicine | 2 Lee Rd, Lisbon, CT 06351 | 2005-06-01 |
| 1700888021 | Cynthia Booth Lord | Physician Assistant | 2 Lee Rd, Lisbon, CT 06351 | 2005-06-01 |
| Find all providers in zip 06351 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356350342 | Southeast Therapy Services Inc | Clinic/Center | 102 10th Avenue West, Lisbon, ND 58054-1097 | 2006-08-07 |
| 1952310971 | Eastern Connecticut Rehabilitation Centers | Clinic/Center | 2b Lee Rd, Lisbon, CT 06351-3042 | 2006-08-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070827 | Hometown Health, LLC | Clinic/Center | 54 Hazard Ave # 161, Enfield, CT 06082-3845 | 2020-10-10 |
| 1811502867 | Zion Pt Ct PC | Clinic/Center | 1555 Post Road East, Inside Sherpa, Westport, CT 06880 | 2020-09-15 |
| 1053920439 | Oss Sports Physical Therapy | Clinic/Center | 500 Newfield Ave Ste 11, Stamford, CT 06905-3745 | 2020-07-30 |
| 1558983403 | Centrality Physical Therapy & Wellness, PC | Clinic/Center | 705 Boston Post Rd Ste 1b, Guilford, CT 06437-2733 | 2020-05-14 |
| 1639703622 | Dr Yoon Physical Therapy Inc | Clinic/Center | 609 Farmington Ave Ste Ll2, Hartford, CT 06105-3081 | 2020-02-27 |
| 1558908897 | Duncaster, Inc. | Clinic/Center | 30 Loeffler Rd., Bloomfield, CT 06002 | 2019-12-05 |
| 1609413491 | Beyond Physical Therapy LLC | Clinic/Center | 120 Steele Rd, Bristol, CT 06010-5672 | 2019-11-29 |
| 1588214381 | Good Physio Clinic Inc | Clinic/Center | 701 Cottage Grove Rd Ste 110, Bloomfield, CT 06002-3080 | 2019-09-13 |
| 1972169241 | Align Health LLC | Clinic/Center | 133 Columbia Blvd, Waterbury, CT 06710-1706 | 2019-05-13 |
| 1396209029 | My Pain Guy LLC | Clinic/Center | 50 Quality St Unit 110615, Trumbull, CT 06611-7725 | 2019-01-28 |
| 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.