# JOHN L. PAYNE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1760440820
- **Gender:** Man
- **Credential:** PT

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 225100000X | Physical Therapist | 002770 | CT | Yes |

## Other

- **Enumeration date:** 05/01/2006
- **Last updated:** 11/08/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 004082202 | — | CT |
| 01 | — | 08-0002770CT01 | ANTHEM BC/BS | CT |
| 01 | — | 508878 | AETNA | CT |
| 01 | — | CD8409 | RR MEDICARE | CT |