CONNECTICUT SPINE AND SPORTS PHYSICIANS, INC. (NPI# 1154363653) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154363653 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT SPINE AND SPORTS PHYSICIANS, INC. |
| Practice Address |
50 S Main St Suite 2e Wallingford CT 06492-4219 |
| Practice Telephone | 2032841872 |
| Practice Fax Number | 2032841874 |
| Mailing Telephone | 2032841872 |
| Mailing Fax Number | 2032841874 |
| Enumeration Date | 2006-06-11 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. SCOTT R COOPER (PRESIDENT) |
| Authorized Official Telephone | 2032841872 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208100000X | Physical Medicine & Rehabilitation | Allopathic & Osteopathic Physicians |
| Street Address |
50 S MAIN ST SUITE 2E |
| City | WALLINGFORD |
| State | CT |
| Zip Code | 06492-4219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811219801 | Jeffrey H Gimbel Md LLC | Internal Medicine | 50 S Main St, Wallingford, CT 06492-4219 | 2010-02-18 |
| 1053457580 | Angela Mustac | Chiropractor | 50 S Main St, 2b, Wallingford, CT 06492-4219 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891310215 | The Promptcare Companies, Inc. | Durable Medical Equipment & Medical Supplies | 101 Noth Plains Industrial Park, Suite B Building 2 Harvest Park, Wallingford, CT 06492 | 2020-06-11 |
| 1528692480 | Hilary Caitlin Sullivan | Nurse Practitioner | Park Avenue Medical, LLC, 85 Barnes Road, Suite 202, Wallingford, CT 06492 | 2020-02-28 |
| 1902370943 | Alicia Anne Eldridge | Student in an Organized Health Care Education/Training Program | 88 Cheshire Road, Wallingford, CT 06492 | 2019-01-13 |
| 1114409562 | Doreen Gail Barile | Pharmacist | 846 North Colony Road, Wallingford, CT 06492 | 2018-09-02 |
| 1942782354 | Brad Becker | Pharmacist | 846 North Colony Rd, Walingford, CT 06492 | 2018-08-31 |
| 1477041564 | Melissa A Fazzolari | Nurse Practitioner | 850 N Main Street Ext Ste B, Wallingford, CT 06492 | 2018-04-25 |
| 1992235857 | Karen Ann Meers | Behavioral Analyst | 29 North Plains Highway, Unit 15, Wallingford, CT 06492 | 2017-06-14 |
| 1992232698 | Chelsea Clements | Occupational Therapist | 87 Southwind Dr, Wallingford, CT 06492 | 2017-05-12 |
| 1659822369 | Sara Frawley | Naturopath | 850 N. Main Street Extention, Building 2 Suite 3c, Wallingford, CT 06492 | 2016-10-18 |
| 1083085518 | Energetic Spine Chiropractic | Chiropractor | 1271 South Broad St., Unit #11, Wallingford, CT 06492 | 2015-10-09 |
| Find all providers in zip 06492 | ||||
| Taxonomy Code | 208100000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Physical Medicine & Rehabilitation |
| Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Physical Medicine and Rehabilitation, 2007. http://www.abpmr.org/. American Osteopathic Board of Physical Medicine and Rehabilitation, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Physical Medicine and Rehabilitation. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Physical Medicine and Rehabilitation. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275806267 | Yuh Teh Chen | Physical Medicine & Rehabilitation | 404 Sheffield Drive, Wallingford, PA 19086-6942 | 2012-02-22 |
| 1366423006 | Alyse Sicklick | Physical Medicine & Rehabilitation | Gaylord Farms Rd, Wallingford, CT 06492 | 2005-11-09 |
| 1558358713 | John Marino | Physical Medicine & Rehabilitation | 701 N Colony Rd, Wallingford, CT 06492-2407 | 2005-10-03 |
| 1912343641 | Hongmei Wang | Physical Medicine & Rehabilitation | 50 Gaylord Farm Rd, Wallingford, CT 06492-2828 | 2013-05-21 |
| 1952452088 | Meghana Karande | Physical Medicine & Rehabilitation | Gaylord Farms Rd., Wallingford, CT 06492 | 2007-01-16 |
| 1447288741 | John William O'brien | Physical Medicine & Rehabilitation | Gaylord Farm Rd., Wallingford, CT 06492 | 2006-06-28 |
| 1124076153 | Paul Nittoli | Physical Medicine & Rehabilitation | Gaylord Farms Rd., Wallingford, CT 06492 | 2006-05-04 |
| 1184605412 | David Rosenblum | Physical Medicine & Rehabilitation | Gaylord Farms Rd., Wallingford, CT 06492 | 2005-11-14 |
| 1811978513 | Michael Collins | Physical Medicine & Rehabilitation | Gaylord Farms Rd., Wallingford, CT 06492 | 2005-11-09 |
| 1386625093 | Luci Juvan | Physical Medicine & Rehabilitation | Gaylord Farms Rd., Wallingford, CT 06492 | 2005-11-09 |
| Find all providers in WALLINGFORD | ||||
| City | WALLINGFORD |
| Zip Code | 06492 |
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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.