Active NPIIndividual provider

Dr. John Detienne, PT, DPT, RYT-200

Physical Therapist in New Canaan, Connecticut

NPI Number1316674617
Practice location
Hss Sports Rehab, 564 South Avenue, New Canaan, CT 06840
Fax
—
Last updated
August 5, 2022

John Detienne is a Physical Therapist based in New Canaan, CT. John Detienne practices in New Canaan, CT and has the professional credentials of PT, DPT, RYT-200. The NPI Number for John Detienne is 1316674617 and holds a License No. 012450 (CT). The current practice location address for John Detienne is Hss Sports Rehab, 564 South Avenue, New Canaan, CT 06840 and can be reached out via phone at 203-276-8597.

Provider Profile Details

NPI Number
1316674617
Provider Name
John Detienne
Credential
PT, DPT, RYT-200
Provider Entity Type
Individual
Gender
Male
Address
Hss Sports Rehab, 564 South Avenue, New Canaan, CT 06840
Phone Number
203-276-8597
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
August 5, 2022
Last Update Date
August 5, 2022
Certification Date
July 28, 2022
NPI Status
Active

Provider Business Practice Location Address Details

Address
Hss Sports Rehab
564 South Avenue
New Canaan, CT 06840
Zip
06840
Phone Number
203-276-8597
New Canaan, CT 06840Get directions →

Provider Business Mailing Address Details

Address
334 Westover RD
Stamford, CT 06902-1929
City
Stamford
State
CT
Zip
06902-1929
Phone Number
202-213-6047

License Information

License Number
012450
License State
CT
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 Dr. John Detienne, PT, DPT, RYT-200?

The NPI number of Dr. John Detienne, PT, DPT, RYT-200 is 1316674617. It was assigned on August 5, 2022 and is currently active in the NPPES registry.

What is the specialty of Dr. John Detienne, PT, DPT, RYT-200?

Dr. John Detienne, PT, DPT, RYT-200 is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 012450.

Where does Dr. John Detienne, PT, DPT, RYT-200 practice?

The practice location is Hss Sports Rehab, 564 South Avenue, New Canaan, CT 06840. The office can be reached at 203-276-8597 (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 1316674617 directly on the NPPES registry website.

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