Active NPIOrganization

Crescent Moon Care LLC

Physical Therapist in Canton, Connecticut

NPI Number1174108393
Practice location
259 Albany Tpke Ste 5, Canton, CT 06019-2557
Fax
—
Last updated
October 17, 2024

Crescent Moon Care LLC is a healthcare organization based in Canton, CT. Crescent Moon Care LLC practices in Canton, CT. The NPI Number for Crescent Moon Care LLC is 1174108393. The current practice location address for Crescent Moon Care LLC is 259 Albany Tpke Ste 5, Canton, CT 06019-2557 and can be reached out via phone at 203-788-0009.

Provider Profile Details

NPI Number
1174108393
Provider Name
Crescent Moon Care LLC
Provider Entity Type
Organization
Address
259 Albany Tpke Ste 5, Canton, CT 06019-2557
Phone Number
203-788-0009
Primary Taxonomy
Physical Therapist · 225100000X
Organization Subpart
No
Authorized Official
Janell Tartaglia · Owner · 203-788-0009
Provider Enumeration Date
March 10, 2021
Last Update Date
October 17, 2024
Certification Date
October 17, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
259 Albany Tpke Ste 5
Canton, CT 06019-2557
City
Canton
Zip
06019-2557
Phone Number
203-788-0009
Canton, CT 06019Get directions →

Provider Business Mailing Address Details

Address
61 Park RD
Barkhamsted, CT 06063-4119
City
Barkhamsted
State
CT
Zip
06063-4119

License Information

Taxonomy
Physical Therapist · 225100000X · 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 Crescent Moon Care LLC?

The NPI number of Crescent Moon Care LLC is 1174108393. It was assigned on March 10, 2021 and is currently active in the NPPES registry.

What is the specialty of Crescent Moon Care LLC?

Crescent Moon Care LLC is registered under the primary taxonomy Physical Therapist (code 225100000X).

Where does Crescent Moon Care LLC practice?

The practice location is 259 Albany Tpke Ste 5, Canton, CT 06019-2557. The office can be reached at 203-788-0009 (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 1174108393 directly on the NPPES registry website.

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