Organization
SUBURBAN PHYSICAL THERAPY & SPORTS MEDICINE CENTER, LLC
Active
Other names
SUBURBAN PHYSICAL THERAPY & SPORTS MEDICINE CENTER, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS MICHAEL SWEENEY RPT (MEMBER DIRECTOR OF PT)
(860) 721-9801
Entity
Organization
Contact information
Practice address
506 CROMWELL AVE, STE 103, ROCKY HILL, CT 06067-1851
(860) 721-9801
(860) 721-8475
Mailing address
506 CROMWELL AVE, STE 103, ROCKY HILL, CT 06067-1851
(860) 721-9801
(860) 721-8475
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251N0400X
Neurology Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
015353
CONNECTICARE
CT
01
—
1023011681
MEDICARE
CT
01
—
119457
AETNA
CT
01
—
321802
VALUEOPTIONS, INC
CT
01
—
36401
ORTHONET/CIGNA
CT
01
—
7647500001
CIGNA GROUP#
CT
01
—
ANC1648
OXFORD HEALTH PLANS
CT
01
—
C009365
CHAMPUS
CT
01
—
C02564
MEDICARE
CT
01
—
CONN605700112
PRIVATEHEALTHCARESYS
CT
01
—
CT154333
PREFERREDHEALTHNETWORK
CT
01
—
OV1296
HEATHNET
CT
Enumeration date
05/27/2005
Last updated
06/20/2018
Update your record
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