PHYSICAL MEDICINE & REHABILITATION OF HARTFORD LLC (NPI# 1346246931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346246931 |
| Entity Type | Organization |
| Organization Name | PHYSICAL MEDICINE & REHABILITATION OF HARTFORD LLC |
| Practice Address |
35 Jolley Dr Ste 101 Bloomfield CT 06002 |
| Mailing Address |
35 Jolley Dr Ste 101 Bloomfield CT 06002-3062 |
| Practice Telephone | 8602433434 |
| Practice Fax Number | 8602430208 |
| Mailing Telephone | 8602433434 |
| Mailing Fax Number | 8602430208 |
| Enumeration Date | 2005-06-28 |
| Last Update Date | 2018-05-15 |
| Authorized Official Name | DR. DAVID A FEINGOLD (PRESIDENT) |
| Authorized Official Telephone | 8602433434 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208100000X | Physical Medicine & Rehabilitation | 035179 | CT | Allopathic & Osteopathic Physicians |
| N | 2081N0008X |
Physical Medicine & Rehabilitation Specialization: Neuromuscular Medicine |
035179 | CT | Allopathic & Osteopathic Physicians |
| N | 261QR0400X |
Clinic/Center Specialization: Rehabilitation |
035179 | CT | Ambulatory Health Care Facilities |
| N | 2081P0010X |
Physical Medicine & Rehabilitation Specialization: Pediatric Rehabilitation Medicine |
035179 | CT | Allopathic & Osteopathic Physicians |
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004251302 | 05 |
| Street Address |
35 JOLLEY DR STE 101 |
| City | BLOOMFIELD |
| State | CT |
| Zip Code | 06002 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134607740 | Leigh-ann Danielle Jaggon | Physical Therapist | 35 Jolley Dr, Bloomfield, CT 06002-3071 | 2018-08-06 |
| 1457803702 | Greater Hartford Orthopedic Group | Durable Medical Equipment & Medical Supplies | 35 Jolley Dr, Suite 301, Bloomfield, CT 06002-3062 | 2016-11-02 |
| 1124571989 | Brianna Butcher | Physical Therapist | 35 Jolley Dr, Bloomfield, CT 06002-3062 | 2016-07-28 |
| 1124309489 | Thoa Thi Nguyen | Nurse Practitioner | 35 Jolley Dr, Suite 203, Bloomfield, CT 06002-3062 | 2011-08-31 |
| 1629262415 | Christine Buchek Vigneault | Internal Medicine | 35 Jolley Dr, Suite 203, Bloomfield, CT 06002-3062 | 2007-09-05 |
| 1437341948 | Meghana Gaiki | Internal Medicine | 35 Jolley Dr, Suite 203, Bloomfield, CT 06002-3062 | 2007-08-17 |
| 1801941513 | Eileen C. Comia, Md, LLC | Nurse Practitioner | 35 Jolley Dr, Suite 102, Bloomfield, CT 06002-3062 | 2007-01-24 |
| 1891883138 | Karen Ann Logan | Occupational Therapist | 35 Jolley Dr, Suite 101, Bloomfield, CT 06002-3062 | 2006-10-11 |
| 1447357538 | Susan G Smith | Physical Therapist | 35 Jolley Dr, Suite 101, Bloomfield, CT 06002-3062 | 2006-09-20 |
| 1235233313 | Eileen C Comia | Internal Medicine | 35 Jolley Dr, Suite 102, Bloomfield, CT 06002-3062 | 2006-09-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558908897 | Duncaster, Inc. | Clinic/Center | 30 Loeffler Rd., Bloomfield, CT 06002 | 2019-12-05 |
| 1104467919 | Caroline Suzanne Carey Oesch | Counselor | 71 West Dudley St, Bloomfield, CT 06002 | 2019-10-02 |
| 1679047534 | Inspire Me, LLC | Counselor | 1-2 Camelot Drive, Bloomfield, CT 06002 | 2019-01-14 |
| 1508348947 | Rebecca Perry | Student in an Organized Health Care Education/Training Program | 693 Bloomfield Avenue, Bloomfield, CT 06002 | 2018-09-01 |
| 1760996946 | Monique Edwards | Social Worker | 705 New Briatin Ave, Chd, Bloomfield, CT 06002 | 2017-11-27 |
| 1225564412 | Merva E Dixon | Nurse Practitioner | 38 Hill Farm Rd, Bloomfield, CT 06002 | 2017-05-07 |
| 1538602610 | Jaime Acevedo | Counselor | 571 Bloomfield Ave, Bloomfield, CT 06002 | 2016-11-22 |
| 1669835138 | Jacob Badura | Pharmacist | 799-824 Park Ave, Bloomfield, CT 06002 | 2016-04-01 |
| 1316283328 | Julie Jason Farrelly | Counselor | 45 Wintonbury Ave Ste 102, Bloomfield, CT 06002 | 2012-12-19 |
| 1184915860 | Rachel Benedetto Scott | Surgery | 6 Northwestern Drive, Suite 305, Bloomfield, CT 06002 | 2011-04-28 |
| Find all providers in zip 06002 | ||||
| Taxonomy Code | 261QM1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Multi-Specialty |
| Definition to come... |
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| 1003431792 | Vital U LLC | Clinic/Center | 8 Hampden Cir, Simsbury, CT 06070-1265 | 2020-06-09 |
| 1396287751 | Integrative Md LLC | Clinic/Center | 47 Oak St Ste 110, Stamford, CT 06905-5320 | 2016-11-15 |
| 1932560281 | Suhradam Medical Practice, LLC | Clinic/Center | 50 Toll Gate Rd, Berlin, CT 06037-3606 | 2016-03-15 |
| 1538561832 | Comprehensive Occupational Medical Associates of Connecticut P C | Clinic/Center | 201 Tresser Blvd Bldg Lobby, Stamford, CT 06901-3432 | 2014-09-18 |
| 1083214407 | Neuropathy Treatment Center LLC | Clinic/Center | 132 Federal Rd Ste 103, Danbury, CT 06811-4047 | 2020-10-26 |
| 1114526688 | Stravada Wellness Care LLC | Clinic/Center | 203 Broad St Unit C-4, Milford, CT 06460-4750 | 2020-10-25 |
| 1417475252 | Community Econsult Network, Inc. | Clinic/Center | 631 Main St, Middletown, CT 06457-2762 | 2017-08-31 |
| 1659779452 | Caring Hands Therapy Services LLC | Clinic/Center | 126 Carey Ave, Meriden, CT 06451-1907 | 2014-12-09 |
| 1992135396 | Margo Ruth Gross LLC | Clinic/Center | 15 Poverty Hollow Rd, 27 Governors Street, Riddgefield, Ct 06877, Redding, CT 06896-3005 | 2013-11-21 |
| Find all providers with the same taxonomy | ||||
| City | BLOOMFIELD |
| Zip Code | 06002 |
Please comment or provide details below to improve the information on PHYSICAL MEDICINE & REHABILITATION OF HARTFORD LLC.
| 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.