Organization
PERFORMANCE PHYSICAL THERAPY & SPORTS MEDICINE, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER DIPASQUALE PT (PRESIDENT)
(860) 537-3014
Entity
Organization
Contact information
Practice address
171 NORWICH AVE, COLCHESTER, CT 06415-1274
(860) 537-3014
(860) 537-1420
Mailing address
171 NORWICH AVE, COLCHESTER, CT 06415-1274
(860) 537-3014
(860) 537-1420
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
—
—
2251G0304X
Geriatric Physical Therapist
—
—
2251H1200X
Hand Physical Therapist
—
—
2251N0400X
Neurology Physical Therapist
—
—
2251S0007X
Sports Physical Therapist
—
—
2251X0800X
Orthopedic Physical Therapist
—
—
225XH1200X
Hand Occupational Therapist
Primary
—
—
Other
Enumeration date
11/30/2006
Last updated
09/11/2025
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