# CHAPIN & HAVLICEK PHYSICAL THERAPY, LLC

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

## Provider details

- **NPI number:** 1679653281
- **Authorized official:** WILLIAM CHAPIN (MEMBER)
- **Authorized official phone:** (203) 752-7878

## Contact information

- **Practice address:** 46 PRINCE ST, SUITE 402B, NEW HAVEN, CT 06519-1600
- **Practice address phone:** (203) 752-7878
- **Practice address fax:** (203) 776-4989
- **Mailing address:** 46 PRINCE ST, SUITE 402B, NEW HAVEN, CT 06519-1600
- **Mailing address phone:** (203) 752-7878
- **Mailing address fax:** (203) 776-4989

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | — | NULL | Yes |
| 225100000X | Physical Therapist | — | — | Yes |
| 2251X0800X | Orthopedic Physical Therapist | — | NULL | — |
| 2251X0800X | Orthopedic Physical Therapist | — | — | — |
| 225X00000X | Occupational Therapist | — | NULL | — |
| 225X00000X | Occupational Therapist | — | — | — |
| 225XH1200X | Hand Occupational Therapist | — | NULL | — |
| 225XH1200X | Hand Occupational Therapist | — | — | — |

## Other

- **Enumeration date:** 10/17/2006
- **Last updated:** 01/23/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0114801 | ORTHONET | — |
| 01 | — | 0578042 | AETNA | — |
| 01 | — | 2V4683 | HEALTHNET | — |
| 01 | — | 2V8124 | HEALTHNET 9/1/06 | — |
| 01 | — | 50HAVLICECT01 | BCBS | CT |
| 01 | — | CG2786 | RAILROAD MEDICARE | CT |