Brian Wirtalla, DPT, CSCS
Physical Therapist in Manchester, Connecticut
1659799823- Practice location
- 29 Haynes St, Suite A, Manchester, CT 06040-4139
- Phone
- 860-649-2267
- Fax
- 860-654-9753
- Last updated
- April 3, 2014
Brian Wirtalla is a Physical Therapist based in Manchester, CT. Brian Wirtalla practices in Manchester, CT and has the professional credentials of DPT, CSCS. The NPI Number for Brian Wirtalla is 1659799823 and holds a License No. 9872 (CT). The current practice location address for Brian Wirtalla is 29 Haynes St, Suite A, Manchester, CT 06040-4139 and can be reached out via phone at 860-649-2267 and via fax at 860-654-9753.
Provider Profile Details
- NPI Number
- 1659799823
- Provider Name
- Brian Wirtalla
- Credential
- DPT, CSCS
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 29 Haynes St, Suite A, Manchester, CT 06040-4139
- Phone Number
- 860-649-2267
- Fax Number
- 860-654-9753
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 3, 2014
- Last Update Date
- April 3, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 29 Haynes St
Suite A
Manchester, CT 06040-4139 - City
- Manchester
- State
- Connecticut
- Zip
- 06040-4139
- Phone Number
- 860-649-2267
- Fax Number
- 860-654-9753
Provider Business Mailing Address Details
- Address
- 181 Patricia M Genova Dr
Newington, CT 06111-1500 - City
- Newington
- State
- CT
- Zip
- 06111-1500
- Phone Number
- 860-696-2550
- Fax Number
- 860-696-2525
License Information
- License Number
- 9872
- License State
- CT
- Taxonomy
- Physical Therapist · 225100000X · 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 Brian Wirtalla, DPT, CSCS?
The NPI number of Brian Wirtalla, DPT, CSCS is 1659799823. It was assigned on April 3, 2014 and is currently active in the NPPES registry.
What is the specialty of Brian Wirtalla, DPT, CSCS?
Brian Wirtalla, DPT, CSCS is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 9872.
Where does Brian Wirtalla, DPT, CSCS practice?
The practice location is 29 Haynes St, Suite A, Manchester, CT 06040-4139. The office can be reached at 860-649-2267 (phone) or 860-654-9753 (fax).
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 1659799823 directly on the NPPES registry website.