JOHN H FIDLER III (NPI# 1851903256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851903256 |
| Entity Type | Individual |
| Full Name | JOHN H FIDLER III |
| Credential | DPT |
| Practice Address |
633 Middlesex Tpke Old Saybrook CT 06475-1220 |
| Mailing Address |
47 Denler Dr Marlborough CT 06447-1324 |
| Practice Telephone | 2036886993 |
| Mailing Telephone | 8602148649 |
| Enumeration Date | 2020-08-18 |
| Last Update Date | 2020-08-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
011106 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Long Wharf Dr Ste 202, New Haven, CT 065115591 | 2036886993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750501722 | John Perry Fidler | Chiropractor | 2301 Us Hwy 105 S, Boone, NC 28679 | 2007-05-01 |
| 1164542437 | John Martin Fidler | Prosthetic/Orthotic Supplier | 26 Baltimore St, Gettysburg, PA 17325 | 2007-03-30 |
| 1003867524 | John E Fidler Jr. | Dentist | 2400 Wayne Memorial Dr, Suite K, Goldsboro, NC 27534-1789 | 2006-05-12 |
| Street Address |
633 MIDDLESEX TPKE |
| City | OLD SAYBROOK |
| State | CT |
| Zip Code | 06475-1220 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174607113 | Douglas Dufore | Psychologist | 633 Middlesex Tpke, Suite 110, Old Saybrook, CT 06475-1220 | 2006-10-25 |
| 1295393064 | Chad Porterfield | Pharmacist | 633 Middlesex Tpke, Old Saybrook, CT 06475-1220 | 2019-06-05 |
| 1457797755 | Charles A. Odonkor | Anesthesiology | 633 Middlesex Tpke, Old Saybrook, CT 06475 | 2013-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912464223 | Kathleen Malcolm | Physical Medicine & Rehabilitation | Apple Rehab Saybrook, 1775 Boston Post Rd, Old Saybrook, CT 06475 | 2019-02-22 |
| 1841661469 | Laura M. Shires, Lcsw, LLC | Social Worker | 24 Ledge Road, Old Saybrook, CT 06475 | 2015-10-08 |
| 1316323397 | Robyn Reilly | Nurse Practitioner | 1687 Rte 1, Old Saybrook, CT 06475 | 2015-08-03 |
| 1679858542 | Brandi Taylor | Counselor | 263 Main St., Suite 301, Old Saybrook, CT 06475 | 2011-10-11 |
| 1346545670 | Lucille Wymer Hartman | Mechanotherapist | 1775 Boston Post Road, Old Saybrook, CT 06475 | 2011-01-18 |
| 1508160631 | Whole Health Wellness, LLC | Clinic/Center | 139 Mill Rock Rd E Unit 1522, Old Saybrook, CT 06475 | 2011-01-04 |
| 1184948481 | Maria S. Foss-rand | Counselor | 251 Main St., Suite 100, Old Seybrook, CT 06475 | 2010-03-16 |
| 1467658161 | Rick Morant Dmd Ms LLC | Dentist | 1358 Boston Post Rd, Suite 2, Old Saybrook, CT 06475 | 2007-06-21 |
| 1174724801 | Richard P Benoit Dmd PC | Dentist | 123 Elm Street, Suite 1300, Old Saybrook, CT 06475 | 2007-05-30 |
| 1194932392 | Omotayo Elizabeth Awujoola | Nurse Practitioner | 20 Research Parkway, Old Saybrook, CT 06475 | 2007-05-17 |
| Find all providers in zip 06475 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| 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 | OLD SAYBROOK |
| Zip Code | 06475 |
Please comment or provide details below to improve the information on JOHN H FIDLER III.
| 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.