CT REHABILITATION & SPASTICITY CARE, LLC (NPI# 1629356431) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629356431 |
| Entity Type | Organization |
| Organization Name | CT REHABILITATION & SPASTICITY CARE, LLC |
| Practice Address |
340 N Main St Southington CT 06489-2529 |
| Practice Telephone | 8606283111 |
| Mailing Telephone | 8606283111 |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2011-07-27 |
| Authorized Official Name | DR. MATTHEW PATRICK RAYMOND (MANAGING MEMBER) |
| Authorized Official Telephone | 8606283111 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
000534 | CT | Ambulatory Health Care Facilities |
| Street Address |
340 N MAIN ST |
| City | SOUTHINGTON |
| State | CT |
| Zip Code | 06489-2529 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396142204 | Pion Chiropractic LLC | Chiropractor | 340 N Main St, Southington, CT 06489-2529 | 2014-11-21 |
| 1760671465 | Costanzo Chiropractic | Chiropractor | 340 N Main St, Southington, CT 06489-2529 | 2007-10-18 |
| 1710107230 | Carol L Rizzolo | Physician Assistant | 340 N Main St, Southington, CT 06489-2529 | 2007-04-26 |
| 1053535245 | Rebecca Davies Jeffery | Physician Assistant | 340 N Main St, Southington, CT 06489-2529 | 2007-04-12 |
| 1336362755 | Personal Care Peds LLC | Pediatrics | 340 N Main St, Southington, CT 06489-2529 | 2007-04-11 |
| 1851460794 | Elliott Ralph Colasanto | Pharmacist | 340 N Main St, Southington, CT 06489-2529 | 2006-11-07 |
| 1588699235 | Arthur Blumer | Pediatrics | 340 N Main St, Southington, CT 06489-2529 | 2006-07-11 |
| 1467401802 | George J Costanzo | Nurse Practitioner | 340 N Main St, Southington, CT 06489-2529 | 2006-05-10 |
| 1457332181 | Matthew Patrick Raymond | Physical Medicine & Rehabilitation | 340 N Main St, Southington, CT 06489-2529 | 2005-11-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467087783 | Shankar Panwar | Counselor | K 11, 1783 Meriden Waterbury Tpke, Southington, CT 06489 | 2020-03-06 |
| 1235771056 | Kathleen Rebecca Mckinney | Music Therapist | 196 Queen St., Southington, CT 06489 | 2019-10-14 |
| 1336700103 | Julie Amanda Nichols | Behavioral Analyst | 1842 Meriden-waterbury Turnpike, Southington, CT 06489 | 2019-06-24 |
| 1396238960 | Kriston Ronalter | Physician Assistant | 775 Queen Street, Southington, CT 06489 | 2018-06-08 |
| 1366933582 | Cj's Counseling, LLC | Counselor | 17 Meriden Ave Ste 1a, Southington, CT 06489 | 2018-05-23 |
| 1104329887 | Koby Douglas Fowler | Chiropractor | 1095 West St Unit 1, Southington, CT 06489 | 2018-03-09 |
| 1447763131 | Samreen, LLC | Clinic/Center | 775 Queen St, Suite 2, Southington, CT 06489 | 2017-11-16 |
| 1902320724 | Michael Petit | Physical Therapist | 98 Main Street, 202, Southington, CT 06489 | 2017-08-02 |
| 1457712127 | Leslie Mclaughlin | Speech-Language Pathologist | 400 Flanders Rd, Southington, CT 06489 | 2016-03-09 |
| 1306219159 | Breanne Schnepf-hanbury | Counselor | 26 N Main St Ste 2b, Southington, CT 06489 | 2015-11-02 |
| Find all providers in zip 06489 | ||||
| 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 | SOUTHINGTON |
| Zip Code | 06489 |
Please comment or provide details below to improve the information on CT REHABILITATION & SPASTICITY CARE, 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.