Active NPIOrganization

Unified Therapy, LLC

Physical Therapist, Pediatrics in South Windsor, Connecticut

NPI Number1356884522
Practice location
869 Sullivan Ave, Suite 7, South Windsor, CT 06074-2007
Fax
—
Last updated
April 13, 2020

Unified Therapy, LLC is a healthcare organization based in South Windsor, CT. Unified Therapy, LLC practices in South Windsor, CT. The NPI Number for Unified Therapy, LLC is 1356884522 and holds a License No. 4793 (CT). The current practice location address for Unified Therapy, LLC is 869 Sullivan Ave, Suite 7, South Windsor, CT 06074-2007 and can be reached out via phone at 860-644-2335.

Provider Profile Details

NPI Number
1356884522
Provider Name
Unified Therapy, LLC
Provider Entity Type
Organization
Address
869 Sullivan Ave, Suite 7, South Windsor, CT 06074-2007
Phone Number
860-644-2335
Primary Taxonomy
Physical Therapist, Pediatrics · 2251P0200X
Organization Subpart
No
Authorized Official
Howard Gregory Venzie, DPT · Physical Therapist/Owner · 860-644-2335
Provider Enumeration Date
November 21, 2016
Last Update Date
April 13, 2020
Certification Date
April 13, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
869 Sullivan Ave
Suite 7
South Windsor, CT 06074-2007
Zip
06074-2007
Phone Number
860-644-2335
South Windsor, CT 06074Get directions →

Provider Business Mailing Address Details

Address
915 Sullivan Ave Ste 3
South Windsor, CT 06074-2165
City
South Windsor
State
CT
Zip
06074-2165
Phone Number
860-644-2335
Fax Number
888-974-2148

License Information

License Number (1)
4793
License State (1)
CT
Taxonomy (1)
Occupational Therapist, Pediatrics · 225XP0200X
License Number (2)
002397
License State (2)
CT
Taxonomy (2)
Speech-Language Pathologist, · 235Z00000X
License Number (3)
007148
License State (3)
CT
Taxonomy (3)
Physical Therapist, Pediatrics · 2251P0200X · 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 Unified Therapy, LLC?

The NPI number of Unified Therapy, LLC is 1356884522. It was assigned on November 21, 2016 and is currently active in the NPPES registry.

What is the specialty of Unified Therapy, LLC?

Unified Therapy, LLC is registered under the primary taxonomy Physical Therapist, Pediatrics (code 2251P0200X), licensed in CT under license number 4793.

Where does Unified Therapy, LLC practice?

The practice location is 869 Sullivan Ave, Suite 7, South Windsor, CT 06074-2007. The office can be reached at 860-644-2335 (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 1356884522 directly on the NPPES registry website.

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