Connecticut Sports Clinic LLC
Clinic/Center, Physical Therapy in New Haven, Connecticut
1598258519- Practice location
- 129 Church St Fl 1, New Haven, CT 06510-2026
- Phone
- 203-200-0099
- Fax
- —
- Last updated
- March 21, 2025
Connecticut Sports Clinic LLC is a healthcare organization based in New Haven, CT. Connecticut Sports Clinic LLC practices in New Haven, CT. The NPI Number for Connecticut Sports Clinic LLC is 1598258519 and holds a License No. 2028 (CT). The current practice location address for Connecticut Sports Clinic LLC is 129 Church St Fl 1, New Haven, CT 06510-2026 and can be reached out via phone at 203-200-0099.
Provider Profile Details
- NPI Number
- 1598258519
- Provider Name
- Connecticut Sports Clinic LLC
- Provider Entity Type
- Organization
- Address
- 129 Church St Fl 1, New Haven, CT 06510-2026
- Phone Number
- 203-200-0099
- Primary Taxonomy
- Clinic/Center, Physical Therapy · 261QP2000X
- Organization Subpart
- No
- Authorized Official
- Gregory Hom, DC · Owner · 203-589-0226
- Provider Enumeration Date
- June 13, 2018
- Last Update Date
- March 21, 2025
- Certification Date
- March 21, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 129 Church St Fl 1
New Haven, CT 06510-2026 - City
- New Haven
- State
- Connecticut
- Zip
- 06510-2026
- Phone Number
- 203-200-0099
Provider Business Mailing Address Details
- Address
- 57 Orange St
New Haven, CT 06510-3150 - City
- New Haven
- State
- CT
- Zip
- 06510-3150
- Phone Number
- 203-589-0226
License Information
- License Number
- 2028
- License State
- CT
- Taxonomy
- Clinic/Center, Physical Therapy · 261QP2000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Connecticut Sports Clinic LLC?
The NPI number of Connecticut Sports Clinic LLC is 1598258519. It was assigned on June 13, 2018 and is currently active in the NPPES registry.
What is the specialty of Connecticut Sports Clinic LLC?
Connecticut Sports Clinic LLC is registered under the primary taxonomy Clinic/Center, Physical Therapy (code 261QP2000X), licensed in CT under license number 2028.
Where does Connecticut Sports Clinic LLC practice?
The practice location is 129 Church St Fl 1, New Haven, CT 06510-2026. The office can be reached at 203-200-0099 (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 1598258519 directly on the NPPES registry website.