| Llc | |
|
1940 Silas Deane Hwy, Rocky Hill, CT 06067 | |
| (860) 257-7448 | |
| (860) 257-9574 |
| Full Name | Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 1940 Silas Deane Hwy, Rocky Hill, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598868192 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | (* (Not Available)) | Secondary |
| 225100000X | Physical Therapist | (* (Not Available)) | Primary |
| Provider Name | Gary R Italia |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1104929702 PECOS PAC ID: 2365464237 Enrollment ID: I20111121000185 |
| Mailing Address | Practice Location Address |
|---|---|
| Llc Po Box 15, Rocky Hill, CT 06067 Ph: (860) 257-7448 | Llc 1940 Silas Deane Hwy, Rocky Hill, CT 06067 Ph: (860) 257-7448 |
Karyn Heller, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2080 Silas Deane Hwy, 2nd Floor, Rocky Hill, CT 06067 Phone: 860-529-5400 Fax: 860-529-5401 | |
Suburban Physical Therapy & Sports Medicine Center, Llc Physical Therapist Medicare: Medicare Enrolled Practice Location: 506 Cromwell Ave, Ste 103, Rocky Hill, CT 06067 Phone: 860-721-9801 Fax: 860-721-8475 | |
Mr. Bryan M Mehigen, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 506 Cromwell Ave Ste 103, Rocky Hill, CT 06067 Phone: 860-721-9801 Fax: 860-721-8475 | |
Beverly Holt, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2162 Silas Deane Hwy, Rocky Hill, CT 06067 Phone: 860-513-1431 Fax: 860-529-0126 | |
Timothy R Peterson, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 506 Cromwell Ave Ste 103, Rocky Hill, CT 06067 Phone: 860-721-9801 Fax: 860-721-8475 | |
Eric Milman, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 2162 Silas Deane Highway, Rocky Hill, CT 06067 Phone: 860-513-1431 Fax: 860-529-0126 | |
Rosalyn Perry, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 2049 Silas Deane Hwy, Suite 1b, Rocky Hill, CT 06067 Phone: 860-953-0676 Fax: 860-953-0682 |