SPORTSMEDICINE PARTNERS, ORTHOPEDICS & REHABILITATION THERAPY, P.C. (NPI# 1598822603) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598822603 |
| Entity Type | Organization |
| Organization Name | SPORTSMEDICINE PARTNERS, ORTHOPEDICS & REHABILITATION THERAPY, P.C. |
| Practice Address |
2800 Tamarack Ave Suite 100 South Windsor CT 06074 |
| Practice Telephone | 8606445900 |
| Practice Fax Number | 8602820170 |
| Mailing Telephone | 8606445900 |
| Mailing Fax Number | 8602820170 |
| Enumeration Date | 2007-01-02 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MRS. AMY M RUSSELL (PRACTICE MANAGER) |
| Authorized Official Telephone | 8606445900 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | ========= | CT | Other Service Providers |
| Street Address |
2800 TAMARACK AVE SUITE 100 |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649278714 | Michael A. Shternfeld | Otolaryngology | 2800 Tamarack Ave, Suite 102, South Windsor, CT 06074-5539 | 2005-07-12 |
| 1730780115 | Aimee Chandler | Health Educator | 2800 Tamarack Ave, South Windsor, CT 06074-5539 | 2020-11-03 |
| 1679950950 | Eastern Sports Medicine and Spine Associates LLC | Orthopaedic Surgery | 2800 Tamarack Ave, Suite 104, South Windsor, CT 06074 | 2015-05-06 |
| 1033548029 | Vipul Dua, Md, LLC | Orthopaedic Surgery | 2800 Tamarack Ave, Suite 106, South Windsor, CT 06074-5539 | 2013-11-11 |
| 1982958492 | Sharon Tokarz | Physician Assistant | 2800 Tamarack Ave, Suite 104, South Windsor, CT 06074-5539 | 2012-11-06 |
| 1306115142 | Jayme Marie Clark | Physician Assistant | 2800 Tamarack Ave, Suite 104, South Windsor, CT 06074-5539 | 2011-12-23 |
| 1386802684 | Mark Tousignant | Specialist | 2800 Tamarack Ave, Suite 100, South Windsor, CT 06074-5539 | 2008-05-23 |
| 1316050925 | Evergreen Imaging Center, LLC | Clinic/Center | 2800 Tamarack Ave, Suite 002, South Windsor, CT 06074 | 2006-08-16 |
| 1699715771 | Connecticut Center for Sight LLC | Ophthalmology | 2800 Tamarack Ave, Suite 102, South Windsor, CT 06074-5539 | 2006-06-07 |
| 1003856048 | Manchester Ear, Nose & Throat Center LLC | Otolaryngology | 2800 Tamarack Ave, Suite 102, South Windsor, CT 06074-9999 | 2006-06-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174144919 | Russo Therapeutics, LLC | Occupational Therapist | 561 King Street, South Windsor, CT 06074 | 2020-05-04 |
| 1144706631 | Chana Judith Hoagland | Nurse Practitioner | 276 Quarry Brook Drive, South Windsor, CT 06074 | 2018-07-17 |
| 1093203291 | Climb Medical Group LLC | Counselor | 828 Sullivan Ave Ste A, South Windsor, CT 06074 | 2018-04-24 |
| 1528506516 | William P Guinan, Md and Associates LLC | Obstetrics & Gynecology | 25 Oakland Road, South Windsor, CT 06074 | 2017-02-09 |
| 1487027678 | Nadine Caron | Nurse Practitioner | 34 Pleasant Valley Rd, South Windsor, CT 06074 | 2015-11-10 |
| 1275957920 | Ellen Carol Ronsivalli | Dietitian, Registered | 70 High Street, South Windsor, CT 06074 | 2014-02-14 |
| 1881036457 | Chandra Yellinedi | Pharmacist | 55 Frazer Fir, South Windsor, CT 06074 | 2013-07-24 |
| 1144665969 | Brian Thomas Moy | Internal Medicine | 2400 Tamarack Ave Ste 101, South Windsor, CT 06074 | 2013-05-07 |
| 1093072886 | Lydia Lormand | Obstetrics & Gynecology | 2600 Tamarack Ave Ste 200, South Windsor, CT 06074 | 2012-04-18 |
| 1578847307 | International Institute for Professional Development, LLC | Social Worker | 435 Buckland Hills Road, South Windsor, CT 06074 | 2011-09-28 |
| Find all providers in zip 06074 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184164477 | William P Guinan and Associates LLC | Specialist | 25 Oakland Rd Ste 1, South Windsor, CT 06074-2897 | 2017-03-06 |
| 1679789226 | Kathleen Fallon Pasakarnis | Specialist | 98 Woodland Dr, South Windsor, CT 06074-2336 | 2007-05-14 |
| 1215051164 | Robert Clare Goodwin | Specialist | 1726 Ellington Rd, South Windsor, CT 06074-2739 | 2007-03-18 |
| 1801876826 | Paul Allen Schwiger | Specialist | 2800 Tamarack Ave Ste 104, South Windsor, CT 06074-5553 | 2006-01-17 |
| 1386802684 | Mark Tousignant | Specialist | 2800 Tamarack Ave, Suite 100, South Windsor, CT 06074-5539 | 2008-05-23 |
| 1295874105 | Central Connecticut Gastroenterology LLC | Specialist | 2400 Tamarack Rd, Suite 101, South Windsor, CT 06074-5555 | 2007-02-06 |
| 1497864516 | Eastern Connecticut Medical Professionals Foundation, Inc | Specialist | 2800 Tamarack Avenue, Suite 104, South Windsor, CT 06074 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386261212 | Diana Louise Botticelli | Specialist | 5 Jackson Pl, Darien, CT 06820-2725 | 2020-06-26 |
| 1205465382 | Center for Vascular Medicine Ct, Pllc | Specialist | 136 Berlin Rd Ste 202, Cromwell, CT 06416-2622 | 2020-04-02 |
| 1679103931 | Gail Joan Dalby | Specialist | 1360 Whitney Ave, Hamden, CT 06517-2400 | 2020-01-24 |
| 1982248902 | Tracy Cook | Specialist | 1533 New Britain Ave Ste 2, Farmington, CT 06032-3378 | 2019-11-02 |
| 1477106482 | Elevate Pt- Stamford Pllc | Specialist | 1234 Summer St Ste 102, Stamford, CT 06905-5558 | 2019-07-18 |
| 1598238321 | Amanda Andrade | Specialist | 40 Whippoorwill Rd, Bethel, CT 06801-2723 | 2019-01-03 |
| 1366921827 | Matt Dutton | Specialist | 1 Highpoint Ct, Woodbury, CT 06798-3228 | 2018-08-07 |
| 1013422591 | Connecticut Orthopaedic Specialists, PC | Specialist | 2499 Main St Ste 6, Stratford, CT 06615-5843 | 2017-12-06 |
| 1114430782 | Elevate Professional Services, LLC | Specialist | 19 Old Kings Hwy S Ste 120, Darien, CT 06820-4532 | 2017-11-06 |
| 1417476052 | Lauri Weil | Specialist | 104 Old Washington Rd, Ridgefield, CT 06877-5918 | 2017-09-14 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH WINDSOR |
| Zip Code | 06074 |
Please comment or provide details below to improve the information on SPORTSMEDICINE PARTNERS, ORTHOPEDICS & REHABILITATION THERAPY, P.C..
| 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.