Organization Name: | PERFORMANCE PHYSICAL THERAPY & SPORTS MEDICINE, INC |
NPI Number: | 1225105448 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CHRISTOPHER DIPASQUALE (PRESIDENT) |
Mailing Address: | 171 Norwich Ave Colchester |
State: | CT US |
Postal Code: | 064151274 |
Phone Number: | 8605373014 |
Fax Number: | 8605371420 |
NPI Enumeration Date: | 11/30/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |