| Primary Spine & Rehab Llc | |
|
143 Hazard Ave, Enfield, CT 06082 | |
| (860) 763-2225 | |
| (860) 763-3161 |
| Full Name | Primary Spine & Rehab Llc |
|---|---|
| Type | Facility |
| Speciality | Physical Therapist |
| Location | 143 Hazard Ave, Enfield, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467667923 | NPI | - | NPPES |
| 4198348 | Medicaid | CT | |
| 77603 | Other | CT | CONNECTICARE |
| 41986348 | Medicaid | CT | |
| G2994212 | Other | CT | OXFORD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 001310 (Connecticut) | Secondary |
| 225100000X | Physical Therapist | 007813 (Connecticut) | Primary |
| 363L00000X | Nurse Practitioner | (* (Not Available)) | Secondary |
| Provider Name | Justin Tremblay |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1649465998 PECOS PAC ID: 2365525748 Enrollment ID: I20080207000549 |
| Provider Name | Jennifer L Meier |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1649415563 PECOS PAC ID: 1759422934 Enrollment ID: I20100111000090 |
| Provider Name | Kevin E Sadowski |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205885340 PECOS PAC ID: 2466491238 Enrollment ID: I20170201002777 |
| Provider Name | Anderson G Hart |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1821598228 PECOS PAC ID: 9931444239 Enrollment ID: I20181214000186 |
| Mailing Address | Practice Location Address |
|---|---|
| Primary Spine & Rehab Llc 143 Hazard Ave, Enfield, CT 06082 Ph: (860) 763-2225 | Primary Spine & Rehab Llc 143 Hazard Ave, Enfield, CT 06082 Ph: (860) 763-2225 |
Susan H Davis, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 101 Phoenix Ave, Suite 2d, Enfield, CT 06082 Phone: 860-741-2541 Fax: 860-745-5264 | |
Christian Morini, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 113 Elm St Ste 201, Enfield, CT 06082 Phone: 860-253-5196 Fax: 860-253-5197 | |
Mr. Zachary Demers, PT, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 101 Phoenix Ave, Suite 2d, Enfield, CT 06082 Phone: 860-741-2541 Fax: 860-745-5264 | |
Scott Elms, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 101 Phoenix Ave, Suite 2d, Enfield, CT 06082 Phone: 860-741-2541 Fax: 860-745-5264 | |
Milan Dipakkumar Patel, PT Physical Therapist Medicare: Medicare Enrolled Practice Location: 935 Enfield St, Enfield, CT 06082 Phone: 832-488-3234 | |
Erin Gaskell, DPT, MTC Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 101 Phoenix Ave, Suite 2d, Enfield, CT 06082 Phone: 860-741-2541 Fax: 860-745-5264 | |
Adam Nathaniel Majka, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 145 Hazard Ave, Enfield, CT 06082 Phone: 860-265-2571 |