SUMMIT FITNESS & REHABILITATION, LLC (NPI# 1649436700) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649436700 |
| Entity Type | Organization |
| Organization Name | SUMMIT FITNESS & REHABILITATION, LLC |
| Practice Address |
195 Federal Rd Suite 6 Brookfield CT 06804-2556 |
| Practice Telephone | 2035468648 |
| Mailing Telephone | 2035468648 |
| Enumeration Date | 2008-07-29 |
| Last Update Date | 2013-06-19 |
| Authorized Official Name | MR. ADAM LEE GRANGER (SOLE MEMBER) |
| Authorized Official Telephone | 2035468648 |
| Authorized Official Credential | MSPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
008174 | CT | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | TRICARE NORTH ID | 020621971 | 01 |
| Street Address |
195 FEDERAL RD SUITE 6 |
| City | BROOKFIELD |
| State | CT |
| Zip Code | 06804-2556 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861867608 | Senior Depot LLC | Durable Medical Equipment & Medical Supplies | 195 Federal Rd, Suite 2, Brookfield, CT 06804-2556 | 2015-12-04 |
| 1629357157 | Erin Lyn Fiakos | Physical Therapist | 195 Federal Rd, Suite 6, Brookfield, CT 06804-2556 | 2011-08-15 |
| 1255651220 | Kerri Bell | Speech-Language Pathologist | 195 Federal Rd, Brookfield, CT 06804-2556 | 2010-06-01 |
| 1518291103 | Jeffrey Moreira | Physical Therapist | 195 Federal Rd, Suite 6, Brookfield, CT 06804-2556 | 2009-09-29 |
| 1073740411 | Kimberly Louise-zipf Downs | Occupational Therapist | 195 Federal Rd, Suite 6, Brookfield, CT 06804-2556 | 2009-06-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306366620 | Tara Hanlon | Nurse Practitioner | 14 Shamrock Drive, Brookfield, CT 06804 | 2017-06-27 |
| 1558804617 | Total Assurance Home Healthcare | Respite Care | 6 Oak Branch Dr, Brookfield, CT 06804 | 2016-11-22 |
| 1154878619 | Regional Young Men's Christian Association of Western Connecticut, Inc | Health Educator | 241 Federal Road, Unit B21, Brookfield, CT 06804 | 2016-09-01 |
| 1285048330 | Altagracia Trinidad | Counselor | 40 Laurel Hill Rd Unit 308, Brookfield, CT 06804 | 2014-06-17 |
| 1619380276 | Benjamin Burke Clippinger | Orthopaedic Surgery | Greenknoll Professional Center, 60 Old New Milford Road, Suite 3e, Brookfield, CT 06804 | 2014-06-11 |
| 1801140371 | Christina M Muggeo | Physical Therapist | 60 Old New Milford Rd Ste 3a, Brookfield, CT 06804 | 2012-11-05 |
| 1952549099 | Joan P Draper | Ophthalmology | 17 Cove Rd, Brookfield, CT 06804 | 2009-01-28 |
| 1588822035 | Jillian Delorme | Psychologist | 828 Federal Rd Fl 2, Brookfield, CT 06804 | 2008-05-30 |
| 1740488212 | Nicholas Rutigliano | Physical Therapist | 3 Federal Rd Ste 100, Brookfield, CT 06804 | 2007-07-06 |
| 1851431373 | Arnold Stuart Zentner | Psychiatry & Neurology | 4 Twin Rocks Road, Brookfield, CT 06804 | 2007-02-07 |
| Find all providers in zip 06804 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528602679 | Be Well Therapies, LLC | Clinic/Center | 7474 Oakwood Dr, Brookfield, OH 44403-9783 | 2019-11-01 |
| 1659783942 | Malloy Holdings, LLC | Clinic/Center | 122 N Main St, Brookfield, MO 64628-1643 | 2014-05-21 |
| 1578853990 | Hwpt | Clinic/Center | 19035 W Capitol Dr, Suite 100, Brookfield, WI 53045-2755 | 2011-04-19 |
| 1336360668 | Midwest Rehabilitation Network Inc. | Clinic/Center | 17280 W North Ave, Suite 104, Brookfield, WI 53045-4366 | 2007-05-02 |
| 1912085119 | Occupational Health Centers of The Southwest, P.a. | Clinic/Center | 2455 N 124th St, Brookfield, WI 53005-4630 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070827 | Hometown Health, LLC | Clinic/Center | 54 Hazard Ave # 161, Enfield, CT 06082-3845 | 2020-10-10 |
| 1811502867 | Zion Pt Ct PC | Clinic/Center | 1555 Post Road East, Inside Sherpa, Westport, CT 06880 | 2020-09-15 |
| 1053920439 | Oss Sports Physical Therapy | Clinic/Center | 500 Newfield Ave Ste 11, Stamford, CT 06905-3745 | 2020-07-30 |
| 1558983403 | Centrality Physical Therapy & Wellness, PC | Clinic/Center | 705 Boston Post Rd Ste 1b, Guilford, CT 06437-2733 | 2020-05-14 |
| 1639703622 | Dr Yoon Physical Therapy Inc | Clinic/Center | 609 Farmington Ave Ste Ll2, Hartford, CT 06105-3081 | 2020-02-27 |
| 1558908897 | Duncaster, Inc. | Clinic/Center | 30 Loeffler Rd., Bloomfield, CT 06002 | 2019-12-05 |
| 1609413491 | Beyond Physical Therapy LLC | Clinic/Center | 120 Steele Rd, Bristol, CT 06010-5672 | 2019-11-29 |
| 1588214381 | Good Physio Clinic Inc | Clinic/Center | 701 Cottage Grove Rd Ste 110, Bloomfield, CT 06002-3080 | 2019-09-13 |
| 1972169241 | Align Health LLC | Clinic/Center | 133 Columbia Blvd, Waterbury, CT 06710-1706 | 2019-05-13 |
| 1396209029 | My Pain Guy LLC | Clinic/Center | 50 Quality St Unit 110615, Trumbull, CT 06611-7725 | 2019-01-28 |
| Find all providers with the same taxonomy | ||||
| City | BROOKFIELD |
| Zip Code | 06804 |
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| 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.