CORE BALANCE PHYSICAL THERAPY, LLC (NPI# 1093115404) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093115404 |
Entity Type | Organization |
Organization Name | CORE BALANCE PHYSICAL THERAPY, LLC |
Other Organization Name | CORE BALANCE PHYSICAL THERAPY, LLC |
Practice Address |
22 Knapp St Suite 303 Stamford CT 06907-1700 |
Practice Telephone | 2034330869 |
Practice Fax Number | 2039893959 |
Mailing Telephone | 2034330869 |
Mailing Fax Number | 2039893959 |
Enumeration Date | 2014-09-04 |
Last Update Date | 2016-12-02 |
Authorized Official Name | CHRISTINE MARIE COLONNA (OWNER) |
Authorized Official Telephone | 8452699475 |
Authorized Official Credential | MS, PT |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
008706 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Other Name | Type Code |
---|---|
Core Balance Physical Therapy, LLC | Other Name - Individual/Organization |
Street Address |
22 KNAPP ST SUITE 303 |
City | STAMFORD |
State | CT |
Zip Code | 06907-1700 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154633980 | Stamford Health Medical Group, Inc. | Family Medicine | One Omega Drive, Building 3, 2nd Floor, Stamford, CT 06907 | 2010-07-09 |
1831272459 | Marietta Soulog Vergara | Internal Medicine | 743 Hope St, Stamford, CT 06907 | 2006-10-24 |
1073637724 | Greenwich Hospital | General Acute Care Hospital | 2015 West Main Street, Stanford, CT 06907 | 2007-03-19 |
1427092618 | Francis H. Kors | Anesthesiology | 34 Friars Ln, Stamford, CT 06907-1017 | 2006-06-16 |
1437532975 | Julie Costello | Pharmacist | 134 Prudence Dr, Stamford, CT 06907-1219 | 2015-07-01 |
1861745259 | Marguerite Kalowsky Benoit | Nurse Practitioner | 187 Bouton St W, Stamford, CT 06907-1320 | 2012-10-22 |
1154504736 | Tracey Ann Trecartin Reed | Nurse Practitioner | 28 Sterling Pl, Stamford, CT 06907-1335 | 2007-12-06 |
1942436381 | Erika Laverick | Speech-Language Pathologist | 78 Hidden Brook Dr, Stamford, CT 06907-1415 | 2009-05-29 |
1265876064 | Christina A Rowe | Registered Nurse | 14 River Pl, Apt 3, Stamford, CT 06907-1426 | 2013-04-23 |
1912113440 | Elissa H Stein | Counselor | 666 Glenbrook Rd, Stamford, CT 06907-1439 | 2007-05-14 |
Find all providers in zip 06907 |
Taxonomy Code | 2251X0800X |
Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Classification | Physical Therapist |
Specialization | Orthopedic |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1659334035 | Steven Saverio Melchionno | Physical Therapist | 83 Harvard Ave, Stamford, CT 06902-5506 | 2006-04-07 |
1942613476 | Allan Jack Bronstein | Physical Therapist | 1234 Summer St, Stamford, CT 06905-5558 | 2014-06-02 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245837384 | Connecticut Back Center LLC | Physical Therapist | 460 Hartford Tpke Ste B, Vernon, CT 06066-4847 | 2020-10-01 |
1780290882 | Jacob Chwiedz | Physical Therapist | 179 Linwood Ave Unit A-4, Colchester, CT 06415-1160 | 2020-09-23 |
1578174488 | Michael G Giambrone | Physical Therapist | 19 Old Kings Hwy S, Darien, CT 06820-4533 | 2020-08-13 |
1841809373 | Connecticut Orthopaedic Specialists, PC | Physical Therapist | 3 Liesl Ln, Branford, CT 06405-3036 | 2020-07-30 |
1093227902 | Nicholas A Bessette | Physical Therapist | 140 Main St Ste 4b, Middletown, CT 06457-3437 | 2017-11-01 |
1588051510 | Physical Therapy Arts LLC | Physical Therapist | 96 Rt. 37, New Fairfield, CT 06812 | 2015-04-16 |
1578954459 | Shanya Stearns | Physical Therapist | 65a Albany Tpke, Canton, CT 06019-2507 | 2015-02-12 |
1497145536 | Tiffany Sudol | Physical Therapist | 1445 E Putnam Ave Ste 2, Old Greenwich, CT 06870-1377 | 2015-01-28 |
1730440736 | Michael James Staropoli | Physical Therapist | 1555 Post Rd E, Westport, CT 06880-5671 | 2012-06-06 |
1619241676 | Maria-elena Elena Mouser | Physical Therapist | 100 Wells Street Suite 1b, Connecticut Orthopedic Rehabilitation Associates, Hartford, CT 06103 | 2012-03-08 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.