MR. GLENN EDWARD LAVALLEE (NPI# 1821242819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1821242819 |
Entity Type | Individual |
Full Name | MR. GLENN EDWARD LAVALLEE |
Credential | MSPT |
Practice Address |
2 Grandview Ln New Milford CT 06776-2344 |
Practice Telephone | 8603555101 |
Mailing Telephone | 8603555101 |
Enumeration Date | 2008-11-05 |
Last Update Date | 2010-05-28 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
026269-1 | NY | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
2 GRANDVIEW LN |
City | NEW MILFORD |
State | CT |
Zip Code | 06776-2344 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1639680879 | Foot & Ankle Specialists of Ct PC | Podiatrist | 7 Pickett District Road, New Milford, CT 06776 | 2017-10-16 |
1477715035 | Abra Grize Mabasa | Family Medicine | 169 Danberry Rd., New Milford, CT 06776 | 2008-06-25 |
1134393259 | Brian A Fusillo | Dentist | One Aspetuck Ave, New Milford, CT 06776 | 2008-04-18 |
1972791499 | New Milford Chiropractic | Chiropractor | 5 Old Town Park Road, South End Plaza Unit 70, New Milford, CT 06776 | 2007-10-10 |
1366637084 | Mary Mackessy | Emergency Medicine | 21 Elm Street, New Milford, CT 06776 | 2007-09-06 |
1659407021 | Margaret Martha Babington | Specialist/Technologist | 101 Aspetuck Ave, Canterbury School, New Milford, CT 06776 | 2007-02-27 |
1053448456 | Lisa Gay Witham | Specialist/Technologist | 101 Aspetuck Ave., Canterbury School, New Milford, NH 06776 | 2007-02-27 |
1710049754 | Linda Gail Smith | Social Worker | New Milford Hospital Behavioral Health Services, 18 Elm St, New Milford, CT 06776 | 2006-12-15 |
1881777597 | Candlewood New Milford LLC | Skilled Nursing Facility | 30 Park Lane East, New Milford, CT 06776 | 2006-10-24 |
1417030651 | Interface Center Inc | Counselor | 46 Danbury Rd, Suite 6, New Milford, CT 06776 | 2006-10-23 |
Find all providers in zip 06776 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1902111222 | Pamela Lee Ward | Physical Therapist | 170 W Shore Dr, New Milford, PA 18834-7638 | 2010-08-11 |
1699911420 | Galina R Vannikova | Physical Therapist | 328 Lacey Dr, New Milford, NJ 07646-1108 | 2008-12-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538772215 | Amanda Masterson | Physical Therapist | 39 Happy Hill Rd, Stamford, CT 06903-1203 | 2020-08-24 |
1770195190 | Garrett Graham | Physical Therapist | 400 Blake St Apt 4117, New Haven, CT 06515-4419 | 2020-08-18 |
1639653850 | Kari Bradley Lombardo | Physical Therapist | 28 Fieldcrest Drive, Ridgefield, CT 06877 | 2018-09-24 |
1346784568 | Tali Faber | Physical Therapist | 3 Baldwin Pl, Westport, CT 06880-4024 | 2016-12-07 |
1912313511 | Stretch Pediatric Therapy and Creative Movement Studio, LLC | Physical Therapist | 199 Shunpike Rd, Cromwell, CT 06416-1142 | 2014-07-03 |
1780934059 | Kasie-lynne Martin | Physical Therapist | 209 Cherry Street, Milford, CT 06460 | 2012-09-14 |
1629350103 | Arsenio Paez | Physical Therapist | 63 Reynolds Dr, Fairfield, CT 06824-4600 | 2011-09-12 |
1699089250 | Robert Marotti | Physical Therapist | 216 Fairfield Beach Rd, Fairfield, CT 06824-6842 | 2010-08-05 |
1417276684 | Carol B. Walcott | Physical Therapist | 25 Ashford Ln, Newtown, CT 06470-1740 | 2010-05-26 |
1386968725 | Lenore Rokosa Robillard | Physical Therapist | 42 Posa Dr, Bristol, CT 06010-5476 | 2010-03-14 |
Find all providers with the same taxonomy |
City | NEW MILFORD |
Zip Code | 06776 |
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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.