CENTER FOR PHYSICAL THERAPY & SPORTS REHAB (NPI# 1538250642) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538250642 |
| Entity Type | Organization |
| Organization Name | CENTER FOR PHYSICAL THERAPY & SPORTS REHAB |
| Practice Address |
495 Gold Star Hwy Suite 112 Groton CT 06340-6803 |
| Practice Telephone | 8604468254 |
| Practice Fax Number | 8604468293 |
| Mailing Telephone | 8604468254 |
| Mailing Fax Number | 8604468293 |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | GERDT PROPFE JR. (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 8604468254 |
| Authorized Official Credential | PT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225100000X | Physical Therapist | 1847 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | ANTHEM BLUE CROSS | 080001847CT01 | 01 |
| CT | HEALTH NET | 0V1692 | 01 |
| Street Address |
495 GOLD STAR HWY SUITE 112 |
| City | GROTON |
| State | CT |
| Zip Code | 06340-6803 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225067895 | Steven Y Wei | Orthopaedic Surgery | 495 Gold Star Hwy, Suite 300, Groton, CT 06340-6228 | 2006-07-03 |
| 1306373162 | Catherine M Reinhardt | Counselor | 495 Gold Star Hwy, Groton, CT 06340-6228 | 2017-05-11 |
| 1861866139 | Connecticut Institute of Behavioral Health Inc. | Psychologist | 495 Gold Star Hwy, Suite 220, Groton, CT 06340-6230 | 2015-11-24 |
| 1649596214 | Jennifer Selden, Ph.d., LLC | Psychologist | 495 Gold Star Hwy, Suite 200, Groton, CT 06340-6228 | 2010-04-08 |
| 1447459672 | Eric R. Wolf, M.d., P.C. | Dermatology | 495 Gold Star Hwy, Suite 108, Groton, CT 06340-6228 | 2007-07-17 |
| 1033311915 | Gold Star Pediatrics LLC | Pediatrics | 495 Gold Star Hwy, Ste 495, Groton, CT 06340-6228 | 2007-06-04 |
| 1134344476 | Rebecca Tyler Davis | Physical Therapist | 495 Gold Star Hwy, Groton, CT 06340-6228 | 2007-04-13 |
| 1245350537 | Frederick William Berggren Jr. | Physical Therapy Assistant | 495 Gold Star Hwy, Suite112, Groton, CT 06340-6228 | 2007-03-30 |
| 1568508042 | James A Wollschlager | Dentist | 495 Gold Star Hwy, Suite 312, Groton, CT 06340-6228 | 2007-01-30 |
| 1790845949 | Mary A Glenn | Pediatrics | 495 Gold Star Hwy, Suite 120, Groton, CT 06340-6228 | 2006-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912558610 | Bruce Lancel Bernardo Lara | Military Health Care Provider | Fpo, Ae, 09587-2417, Groton, AE 06340 | 2019-09-24 |
| 1295393692 | Ermelinda Elaine Alviso | Military Health Care Provider | Trout Ave, Groton, CT 06340 | 2019-05-31 |
| 1679034011 | Derek James Hale | Military Health Care Provider | Fc 83 Numi, Trout Ave, Groton, CT 06340 | 2019-03-28 |
| 1063973790 | Cody Eugene Shaw | Military Health Care Provider | Numi, Trout Ave Building 83, Groton, CT 06340 | 2019-03-26 |
| 1265906911 | Homelife Companions and Homemakers, LLC | Adult Companion | 1 Fort Hill Road, Suite 3, Groton, CT 06340 | 2019-01-16 |
| 1144735457 | Kristina Marie Carta | Behavior Technician | 220 Rt 12, Suite 205, Groton, CT 06340 | 2017-12-08 |
| 1538674262 | Tercel Dental Pllc | Dentist | 643 Gold Star Hwy., Groton, CT 06340 | 2017-12-04 |
| 1306361662 | Stonington Behavioral Health Inc | Psychologist | 618 Poquonnock Rd, Groton, CT 06340 | 2017-08-08 |
| 1104347806 | Renae Reynolds | Optometrist | 489 Gold Star Hwy Ste 100, Groton, CT 06340 | 2017-07-03 |
| 1053831552 | Susan A Bradbury | Physical Therapist | 455 Eastern Point Rd, Groton, CT 06340 | 2017-06-26 |
| Find all providers in zip 06340 | ||||
| Taxonomy Code | 225100000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT’s assess joint motion, muscle strength and endurance, function of heart and lungs, and performance of activities required in daily living, among other responsibilities. Treatment includes therapeutic exercises, cardiovascular endurance training, and training in activities of daily living. (2) A physical therapist is a person qualified by an accredited program in physical therapy, licensed by the state, and practicing within the scope of that license. Physical therapists treat disease, injury, or loss of a bodily part by physical means, such as the application of light, heat, cold, water, electricity, massage and exercise. They develop treatment plans based upon each patient’s strengths, weaknesses, range of motion and ability to function. (3) A health professional who specializes in physical therapy- the health care field concerned primarily with the treatment of disorders with physical agents and methods, such as massage, manipulation, therapeutic exercises, cold, heat (including short-wave, microwave, and ultrasonic diathermy), hydrotherapy, electric stimulation and light to assist in rehabilitating patients and in restoring normal function after an illness or injury. |
| Notes: Source: (1) APTA Guidelines for Physical Therapy Claims Review, American Physical Therapy Association. (3) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114585445 | Faustino Torres Galang Jr. | Physical Therapist | 84 Brookshaven Rd, Groton, CT 06340-3804 | 2019-06-01 |
| 1457830267 | Lauren Peladeau | Physical Therapist | 481 Gold Star Hwy Ste 302, Groton, CT 06340-6703 | 2018-08-13 |
| 1053831552 | Susan A Bradbury | Physical Therapist | 455 Eastern Point Rd, Groton, CT 06340 | 2017-06-26 |
| 1497154702 | Bronwen Mitchell | Physical Therapist | 122 Old Ayer Rd, Groton, MA 01450-1826 | 2014-08-22 |
| 1063780112 | Best Health Physical Therapy, LLC | Physical Therapist | 428 Long Hill Rd Ste 101, Groton, CT 06340 | 2011-12-05 |
| 1528375979 | Todd Holt Physical Therapy, LLC | Physical Therapist | 687 Schoolhouse Rd, Groton, VT 05046-9674 | 2010-09-07 |
| 1154401305 | Travis B Lombardi | Physical Therapist | 772 Long Hill Rd, Groton, CT 06340-4273 | 2006-10-16 |
| 1790897619 | Steven De Castro | Physical Therapist | 495 Gold Star Highway, Suite 112, Groton, CT 06340-6229 | 2006-08-31 |
| 1205871654 | Johnelms LLC | Physical Therapist | 1313 Gold Star Hwy, Groton, CT 06340-2717 | 2006-06-19 |
| 1063466779 | Jennifer Mullane Armstrong | Physical Therapist | 565 Long Hill Rd, Ste 3, Groton, CT 06340-4134 | 2006-05-19 |
| Find all providers in GROTON | ||||
Please comment or provide details below to improve the information on CENTER FOR PHYSICAL THERAPY & SPORTS REHAB.
| 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.