MOUNTAIN PHYSICAL THERAPY AND SPORTS MEDICINE, LLC (NPI# 1447435052) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447435052 |
| Entity Type | Organization |
| Organization Name | MOUNTAIN PHYSICAL THERAPY AND SPORTS MEDICINE, LLC |
| Practice Address |
31 Ensign Dr A Avon CT 06001-3773 |
| Practice Telephone | 8606741569 |
| Mailing Telephone | 8606741569 |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-02-27 |
| Authorized Official Name | SAMIR DOSHI (MEMBER) |
| Authorized Official Telephone | 8606741569 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Street Address |
31 ENSIGN DR A |
| City | AVON |
| State | CT |
| Zip Code | 06001-3773 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891789608 | The Perfect Workout | Physical Therapist | 31 Ensign Dr, Avon, CT 06001-3773 | 2005-09-07 |
| 1336404847 | Kurtis Lillie | Physical Therapist | 31 Ensign Dr, The Perfect Workout, Avon, CT 06001-3773 | 2012-07-10 |
| 1487964599 | Hartford Orthopedic Surgeons, PC | Orthopaedic Surgery | 31 Ensign Dr, Avon, CT 06001-3773 | 2010-10-08 |
| 1497905434 | Julie Rae Keen | Physical Therapist | 31 Ensign Dr, Avon, CT 06001-3773 | 2008-09-26 |
| 1831384403 | Samir Doshi | Physical Therapist | 31 Ensign Dr, A, Avon, CT 06001-3773 | 2007-09-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285247338 | Alledran Med LLC | Durable Medical Equipment & Medical Supplies | 47 Avonwood Road, Unit #218, Avon, CT 06001 | 2020-08-28 |
| 1265053391 | 001care Inc | In Home Supportive Care | 20 Tower Lane, Avon, CT 06001 | 2020-04-29 |
| 1649813783 | Peoplesdental, P.C. | Dentist | 20 W Avon Rd Ste 104, Avon, CT 06001 | 2019-10-22 |
| 1740822063 | I E Consulting, LLC | Home Health | 1-5 East Main Street, Avon, CT 06001 | 2019-10-09 |
| 1598324261 | Prima Labs, LLC | Orthopaedic Surgery | Dr. Alexandra 58, Kezmarok, SLOVAKIA 06001 | 2019-06-06 |
| 1194220996 | Theresa L. Hixson | Social Worker | 152 Simsbury Rd., Building 9, Avon, CT 06001 | 2018-03-26 |
| 1851809974 | Kathleen Ann Subasic | Occupational Therapist | 19 Stockbridge Dr, Avon, CT 06001 | 2018-01-11 |
| 1801254297 | Vanessa Brodie | Psychologist | 395 W Avon Rd Ste 1, Avon, CT 06001 | 2016-02-01 |
| 1346614468 | Bryan Lilley | Physical Therapist | 34 Dale Rd., 202, Avon, CT 06001 | 2015-12-01 |
| 1073947446 | Rahel K. Saroff Counseling Services LLC | Counselor | 7 Towpath Lane, Avon, CT 06001 | 2013-08-21 |
| Find all providers in zip 06001 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700221371 | Dynamic Health Physical Therapy | Clinic/Center | 35 Tower Lane, Suite 110, Avon, CT 06001-4237 | 2013-05-08 |
| 1740475441 | Richard G Weber | Clinic/Center | 7114 Galen Dr W, Suite 200, Avon, IN 46123-8658 | 2007-09-06 |
| 1194851444 | Brian Albert Magna Sr. | Clinic/Center | 302 W. Main Street, Suite 152, Avon, CT 06001 | 2007-02-23 |
| 1578597654 | Physical Therapy, Inc | Clinic/Center | 7114 Galen Dr W Ste 200, Avon, IN 46123-8658 | 2006-07-11 |
| 1396162095 | Cleveland Clinic Foundation | Clinic/Center | 33100 Cleveland Clinic Blvd, Avon, OH 44011-1390 | 2014-03-20 |
| 1407272560 | Cleveland Clinic | Clinic/Center | 33100 Cleveland Clinic Blvd, Avw1-pt, Avon, OH 44011 | 2014-03-13 |
| 1609125137 | Megan Lease | Clinic/Center | 301 Satoril Pkwy, Avon, IN 46123-6406 | 2012-08-30 |
| 1174852479 | Allstar Therapy, LLC | Clinic/Center | 51 E Main St, Avon, CT 06001-3821 | 2009-12-15 |
| 1548411234 | Magna Physical Therapy & Golf Medicine Center, LLC | Clinic/Center | 302 W Main St, Suite 204, Avon, CT 06001-3681 | 2008-10-01 |
| 1184775827 | Keith Mccarroll | Clinic/Center | 100 W. Beaver Creek Blvd, 204, Avon, CO 81620 | 2007-01-16 |
| Find all providers in AVON | ||||
Please comment or provide details below to improve the information on MOUNTAIN PHYSICAL THERAPY AND SPORTS MEDICINE, 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.