Active NPIOrganization

Extend Rehab LLC

Occupational Therapist in Bethel, Connecticut

NPI Number1144707274
Practice location
121 Codfish Hill RD, Bethel, CT 06801-3203
Fax
—
Last updated
February 26, 2019

Extend Rehab LLC is a healthcare organization based in Bethel, CT. Extend Rehab LLC practices in Bethel, CT. The NPI Number for Extend Rehab LLC is 1144707274. The current practice location address for Extend Rehab LLC is 121 Codfish Hill RD, Bethel, CT 06801-3203 and can be reached out via phone at 475-279-0347.

Provider Profile Details

NPI Number
1144707274
Provider Name
Extend Rehab LLC
Provider Entity Type
Organization
Address
121 Codfish Hill RD, Bethel, CT 06801-3203
Phone Number
475-279-0347
Primary Taxonomy
Occupational Therapist · 225X00000X
Organization Subpart
No
Authorized Official
Stephen Suriano, DPT · Manager · 475-279-0838
Provider Enumeration Date
July 21, 2018
Last Update Date
February 26, 2019
NPI Status
Active

Provider Business Practice Location Address Details

Address
121 Codfish Hill RD
Bethel, CT 06801-3203
City
Bethel
Zip
06801-3203
Phone Number
475-279-0347
Bethel, CT 06801Get directions →

Provider Business Mailing Address Details

Address
121 Codfish Hill RD
Bethel, CT 06801-3203
City
Bethel
State
CT
Zip
06801-3203
Phone Number
475-279-0347

License Information

License State (1)
CT
Taxonomy (1)
Physical Therapist · 225100000X
License State (2)
CT
Taxonomy (2)
Occupational Therapist · 225X00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
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 Extend Rehab LLC?

The NPI number of Extend Rehab LLC is 1144707274. It was assigned on July 21, 2018 and is currently active in the NPPES registry.

What is the specialty of Extend Rehab LLC?

Extend Rehab LLC is registered under the primary taxonomy Occupational Therapist (code 225X00000X).

Where does Extend Rehab LLC practice?

The practice location is 121 Codfish Hill RD, Bethel, CT 06801-3203. The office can be reached at 475-279-0347 (phone).

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 1144707274 directly on the NPPES registry website.

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