Organization
PHYSICAL THERAPY OF MYSTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RON A AGOSTINI PT (OWNER)
(860) 445-9433
Entity
Organization
Contact information
Practice address
481 GOLD STAR HWY, SUITE 201, GROTON, CT 06340-6702
(860) 445-9433
(860) 445-8802
Mailing address
481 GOLD STAR HWY, SUITE 201, GROTON, CT 06340-6702
(860) 445-9433
(860) 445-8802
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
003770
CT
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up