STRETCH PEDIATRIC THERAPY AND CREATIVE MOVEMENT STUDIO, LLC (NPI# 1912313511) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1912313511 |
Entity Type | Organization |
Organization Name | STRETCH PEDIATRIC THERAPY AND CREATIVE MOVEMENT STUDIO, LLC |
Practice Address |
199 Shunpike Rd Cromwell CT 06416-1142 |
Practice Telephone | 8602279855 |
Enumeration Date | 2014-07-03 |
Last Update Date | 2014-07-03 |
Authorized Official Name | DR. ALICIA BERGER HARRIMAN (OWNER / DIRECTOR) |
Authorized Official Telephone | 8602279855 |
Authorized Official Credential | DPT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
007255 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Street Address |
199 SHUNPIKE RD |
City | CROMWELL |
State | CT |
Zip Code | 06416-1142 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1992368831 | Emily Williams, LLC | Community/Behavioral Health | 199 Shunpike Rd, Cromwell, CT 06416-1142 | 2019-04-16 |
1891254298 | Jessica Larson | Occupational Therapist | 199 Shunpike Rd, Cromwell, CT 06416-1142 | 2019-03-15 |
1134583834 | Nicole Rocco-lapinski | Counselor | 199 Shunpike Rd, Cromwell, CT 06416-1142 | 2016-04-08 |
1619372083 | Alicia Berger Harriman | Physical Therapist | 199 Shunpike Rd, Cromwell, CT 06416-1142 | 2014-10-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104469626 | Anjali Rowe | Developmental Therapist | 162 West Street., Building 2 Suite F, Building 2 Suite F, Cromwell, CT 06416 | 2019-10-28 |
1366938110 | Katherine Sluti | Developmental Therapist | 162 West St., Building 2 Suite F, Cromwell, CT 06416 | 2018-07-05 |
1821597477 | Sherry Wong | Behavioral Analyst | 162 West St, Bldg 2, Suite F, Cromwell, CT 06416 | 2018-02-09 |
1952826828 | Marlene Dejesus | Developmental Therapist | 162 West St, Bldg 2 Suite F, Cromwell, CT 06416 | 2017-08-11 |
1689199895 | Amanda Marie Mimande | Developmental Therapist | 162 West Street, Building 2, Suite F, Cromwell, CT 06416 | 2017-08-08 |
1912260357 | Ulrich Klaus Rathey | Internal Medicine | 2316 Cromwell Hills Drive, Cromwell, CT 06416 | 2012-06-20 |
1801171616 | Leonard J Zgorski | Pharmacist | 4 Hammerhead Place, Cromwell, CT 06416 | 2011-10-13 |
1396024725 | Michelle Nwigwe | Nurse Practitioner | 80 Shunpike Rd Ste 101-b2, Cromwell, CT 06416 | 2011-08-16 |
1508090028 | Giovanna Maria Cammuso | Social Worker | 22 Tuttle Road, Cromwell, CT 06416 | 2009-05-12 |
1992954994 | Connecticut Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 72 Berlin Rd., Cromwell, CT 06416 | 2008-09-15 |
Find all providers in zip 06416 |
Taxonomy Code | 2251P0200X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Pediatrics |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619372083 | Alicia Berger Harriman | Physical Therapist | 199 Shunpike Rd, Cromwell, CT 06416-1142 | 2014-10-28 |
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 |
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 |
1972734473 | Lauri F. Boscarino | Physical Therapist | 84 Snipsic Lake Rd, Ellington, CT 06029-3519 | 2009-07-31 |
Find all providers with the same taxonomy |
Please comment or provide details below to improve the information on STRETCH PEDIATRIC THERAPY AND CREATIVE MOVEMENT STUDIO, 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.