| Organization Name: | SUBURBAN PHYSICAL THERAPY & SPORTS MEDICINE CTR |
| NPI Number: | 1023011681 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | THOMAS MICHAEL SWEENEY (MEMBER DIRECTOR OF PT) |
| Mailing Address: | 506 Cromwell Ave Ste 103 Rocky Hill |
| State: | CT US |
| Postal Code: | 060671851 |
| Phone Number: | 8607219801 |
| Fax Number: | 8607218475 |
| NPI Enumeration Date: | 05/27/2005 |
| NPI Last Update Date: | 04/03/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251G0304X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Geriatrics |
| Taxonomy Definition: | |