Active NPIIndividual provider

Jonathan Patrick, PT

Physical Therapist in Old Lyme, Connecticut

NPI Number1417180266
Practice location
6 Davis RD W, Old Lyme, CT 06371-1448
Fax
—
Last updated
August 27, 2009

Jonathan Patrick is a Physical Therapist based in Old Lyme, CT. Jonathan Patrick practices in Old Lyme, CT and has the professional credentials of PT. The NPI Number for Jonathan Patrick is 1417180266 and holds a License No. 2350 (CT). The current practice location address for Jonathan Patrick is 6 Davis RD W, Old Lyme, CT 06371-1448 and can be reached out via phone at 860-434-9155.

Provider Profile Details

NPI Number
1417180266
Provider Name
Jonathan Patrick
Credential
PT
Provider Entity Type
Individual
Gender
Male
Address
6 Davis RD W, Old Lyme, CT 06371-1448
Phone Number
860-434-9155
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
August 27, 2009
Last Update Date
August 27, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Davis RD W
Old Lyme, CT 06371-1448
Zip
06371-1448
Phone Number
860-434-9155
Old Lyme, CT 06371Get directions →

Provider Business Mailing Address Details

Address
6 Davis RD W
Old Lyme, CT 06371-1448
City
Old Lyme
State
CT
Zip
06371-1448
Phone Number
860-434-9155

License Information

License Number
2350
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 Jonathan Patrick, PT?

The NPI number of Jonathan Patrick, PT is 1417180266. It was assigned on August 27, 2009 and is currently active in the NPPES registry.

What is the specialty of Jonathan Patrick, PT?

Jonathan Patrick, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 2350.

Where does Jonathan Patrick, PT practice?

The practice location is 6 Davis RD W, Old Lyme, CT 06371-1448. The office can be reached at 860-434-9155 (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 1417180266 directly on the NPPES registry website.

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