Active NPIIndividual provider

Dr. Darrell Gruber, PT, DPT

Physical Therapist in Bantam, Connecticut

NPI Number1700191038
Practice location
607 Bantam RD Ste H, Bantam, CT 06750-1635
Fax
860-567-7779
Last updated
December 16, 2021

Darrell Gruber is a Physical Therapist based in Bantam, CT. Darrell Gruber practices in Bantam, CT and has the professional credentials of PT, DPT. The NPI Number for Darrell Gruber is 1700191038 and holds a License No. 8882 (CT). The current practice location address for Darrell Gruber is 607 Bantam RD Ste H, Bantam, CT 06750-1635 and can be reached out via phone at 860-567-7787 and via fax at 860-567-7779.

Provider Profile Details

NPI Number
1700191038
Provider Name
Darrell Gruber
Credential
PT, DPT
Provider Entity Type
Individual
Gender
Male
Address
607 Bantam RD Ste H, Bantam, CT 06750-1635
Phone Number
860-567-7787
Fax Number
860-567-7779
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
August 11, 2010
Last Update Date
December 16, 2021
Certification Date
December 16, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
607 Bantam RD Ste H
Bantam, CT 06750-1635
City
Bantam
Zip
06750-1635
Phone Number
860-567-7787
Fax Number
860-567-7779
Bantam, CT 06750Get directions →

Provider Business Mailing Address Details

Address
73 Newton RD Unit 101
Plaistow, NH 03865-2440
City
Plaistow
State
NH
Zip
03865-2440
Phone Number
978-388-7272
Fax Number
978-388-7373

License Information

License Number
8882
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. Darrell Gruber, PT, DPT?

The NPI number of Dr. Darrell Gruber, PT, DPT is 1700191038. It was assigned on August 11, 2010 and is currently active in the NPPES registry.

What is the specialty of Dr. Darrell Gruber, PT, DPT?

Dr. Darrell Gruber, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 8882.

Where does Dr. Darrell Gruber, PT, DPT practice?

The practice location is 607 Bantam RD Ste H, Bantam, CT 06750-1635. The office can be reached at 860-567-7787 (phone) or 860-567-7779 (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 1700191038 directly on the NPPES registry website.

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