Russell J Bodurtha, PHYSICAL THERAPIST
Physical Therapist in Burlington, Connecticut
1033629092- Practice location
- 292 Spielman Hwy, Burlington, CT 06013-1727
- Phone
- 860-404-2924
- Fax
- 860-404-2933
- Last updated
- October 4, 2017
Russell J Bodurtha is a Physical Therapist based in Burlington, CT. Russell J Bodurtha practices in Burlington, CT and has the professional credentials of PHYSICAL THERAPIST. The NPI Number for Russell J Bodurtha is 1033629092 and holds a License No. 11630 (CT). The current practice location address for Russell J Bodurtha is 292 Spielman Hwy, Burlington, CT 06013-1727 and can be reached out via phone at 860-404-2924 and via fax at 860-404-2933.
Provider Profile Details
- NPI Number
- 1033629092
- Provider Name
- Russell J Bodurtha
- Credential
- PHYSICAL THERAPIST
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 292 Spielman Hwy, Burlington, CT 06013-1727
- Phone Number
- 860-404-2924
- Fax Number
- 860-404-2933
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 4, 2017
- Last Update Date
- October 4, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 292 Spielman Hwy
Burlington, CT 06013-1727 - City
- Burlington
- State
- Connecticut
- Zip
- 06013-1727
- Phone Number
- 860-404-2924
- Fax Number
- 860-404-2933
Provider Business Mailing Address Details
- Address
- 465 Wolcott RD
Wolcott, CT 06716-2613 - City
- Wolcott
- State
- CT
- Zip
- 06716-2613
License Information
- License Number
- 11630
- License State
- CT
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Russell J Bodurtha, PHYSICAL THERAPIST?
The NPI number of Russell J Bodurtha, PHYSICAL THERAPIST is 1033629092. It was assigned on October 4, 2017 and is currently active in the NPPES registry.
What is the specialty of Russell J Bodurtha, PHYSICAL THERAPIST?
Russell J Bodurtha, PHYSICAL THERAPIST is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 11630.
Where does Russell J Bodurtha, PHYSICAL THERAPIST practice?
The practice location is 292 Spielman Hwy, Burlington, CT 06013-1727. The office can be reached at 860-404-2924 (phone) or 860-404-2933 (fax).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033629092 directly on the NPPES registry website.