# NEW ENGLAND PHYSICAL THERAPY, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1487723904
- **Authorized official:** MR. MICHAEL A DICHELLO (MANAGER)
- **Authorized official phone:** (860) 583-6378

## Contact information

- **Practice address:** 30 NORTHWESTERN DR, BRISTOL, CT 06010-2847
- **Practice address phone:** (860) 583-6378
- **Practice address fax:** (817) 582-7526
- **Mailing address:** 30 NORTHWESTERN DR, BRISTOL, CT 06010-2847
- **Mailing address phone:** (860) 583-6378
- **Mailing address fax:** (817) 582-7526

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 2251H1200X | Hand Physical Therapist | — | NULL | — |
| 2251H1200X | Hand Physical Therapist | — | — | — |
| 2251S0007X | Sports Physical Therapist | — | NULL | Yes |
| 2251S0007X | Sports Physical Therapist | — | — | Yes |
| 2251X0800X | Orthopedic Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 11/07/2006
- **Last updated:** 09/11/2025