Active NPIIndividual provider

Mark Gombotz

Physical Therapist in Old Lyme, Connecticut

NPI Number1922116185
Practice location
6 Davis RD E, Old Lyme, CT 06371-1447
Fax
—
Last updated
July 8, 2007

Mark Gombotz is a Physical Therapist based in Old Lyme, CT. Mark Gombotz practices in Old Lyme, CT. The NPI Number for Mark Gombotz is 1922116185. The current practice location address for Mark Gombotz is 6 Davis RD E, Old Lyme, CT 06371-1447 and can be reached out via phone at 860-434-9155.

Provider Profile Details

NPI Number
1922116185
Provider Name
Mark Gombotz
Provider Entity Type
Individual
Gender
Male
Address
6 Davis RD E, Old Lyme, CT 06371-1447
Phone Number
860-434-9155
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
August 28, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
6 Davis RD E
Old Lyme, CT 06371-1447
Zip
06371-1447
Phone Number
860-434-9155
Old Lyme, CT 06371Get directions →

Provider Business Mailing Address Details

Address
35 Mallard Ln
Kensington, CT 06037-3553
City
Kensington
State
CT
Zip
06037-3553
Phone Number
860-828-6873

License Information

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 Mark Gombotz?

The NPI number of Mark Gombotz is 1922116185. It was assigned on August 28, 2006 and is currently active in the NPPES registry.

What is the specialty of Mark Gombotz?

Mark Gombotz is registered under the primary taxonomy Physical Therapist (code 225100000X).

Where does Mark Gombotz practice?

The practice location is 6 Davis RD E, Old Lyme, CT 06371-1447. 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 1922116185 directly on the NPPES registry website.

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