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.
Organization
VILLAGE STREET PHYSICAL THERAPY AND SPORTS MEDICINE P.C.
Active
Organization
VILLAGE STREET PHYSICAL THERAPY AND SPORTS MEDICINE P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN MICHAEL DUFRESNE (OWNER)
(203) 562-8140
Entity
Organization
Contact information
Practice address
12 VILLAGE ST, SUITE 10, NORTH HAVEN, CT 06473-3828
(203) 562-8140
Mailing address
12 VILLAGE ST, SUITE 10, NORTH HAVEN, CT 06473-3828
(203) 562-8140
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
NULL
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
080002017CT01
BCBS
CT
01
—
183259
WELLCARE
CT
01
—
7614976004
CIGNA
CT
01
—
897715
AETNA
CT
01
—
A531345
OXFORD
CT
01
—
OV1735
HEALTHNET
CT
Enumeration date
11/26/2007
Last updated
10/13/2011
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign upProduct
Developers