# CMC PHYSICAL THERAPY

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Pediatric Therapy Associates
- **Organization subpart:** No

## Provider details

- **NPI number:** 1245466846
- **Authorized official:** MRS. CATHLEEN MARIE CLARK MPT (OWNER)
- **Authorized official phone:** (203) 270-1370

## Contact information

- **Practice address:** 64 BARNABAS RD, UNIT 4, NEWTOWN, CT 06470-1259
- **Practice address phone:** (203) 270-1370
- **Practice address fax:** (203) 270-1417
- **Mailing address:** 64 BARNABAS RD, UNIT 4, NEWTOWN, CT 06470-1259
- **Mailing address phone:** (203) 270-1370
- **Mailing address fax:** (203) 270-1417

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2251P0200X | Pediatric Physical Therapist | 004454 | CT | Yes |

## Other

- **Enumeration date:** 06/09/2009
- **Last updated:** 06/09/2009