UNIFIED THERAPY, LLC (NPI# 1356884522) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356884522 |
| Entity Type | Organization |
| Organization Name | UNIFIED THERAPY, LLC |
| Practice Address |
869 Sullivan Ave Suite 7 South Windsor CT 06074-2007 |
| Mailing Address |
915 Sullivan Ave Ste 3 South Windsor CT 06074-2165 |
| Practice Telephone | 8606442335 |
| Mailing Telephone | 8606442335 |
| Mailing Fax Number | 8889742148 |
| Enumeration Date | 2016-11-21 |
| Last Update Date | 2020-04-13 |
| Authorized Official Name | HOWARD GREGORY VENZIE (PHYSICAL THERAPIST/OWNER) |
| Authorized Official Telephone | 8606442335 |
| Authorized Official Credential | DPT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
4793 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 235Z00000X | Speech-Language Pathologist | 002397 | CT | Speech, Language and Hearing Service Providers |
| Y | 2251P0200X |
Physical Therapist Specialization: Pediatrics |
007148 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | UNIFIED THERAPY, LLC | 869 Sullivan Ave, Suite 7, South Windsor, CT 06074 |
| Street Address |
869 SULLIVAN AVE SUITE 7 |
| City | SOUTH WINDSOR |
| State | CT |
| Zip Code | 06074-2007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154631661 | H. Gregory Venzie | Physical Therapist | 869 Sullivan Ave, South Windsor, CT 06074-2007 | 2010-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174144919 | Russo Therapeutics, LLC | Occupational Therapist | 561 King Street, South Windsor, CT 06074 | 2020-05-04 |
| 1144706631 | Chana Judith Hoagland | Nurse Practitioner | 276 Quarry Brook Drive, South Windsor, CT 06074 | 2018-07-17 |
| 1093203291 | Climb Medical Group LLC | Counselor | 828 Sullivan Ave Ste A, South Windsor, CT 06074 | 2018-04-24 |
| 1528506516 | William P Guinan, Md and Associates LLC | Obstetrics & Gynecology | 25 Oakland Road, South Windsor, CT 06074 | 2017-02-09 |
| 1487027678 | Nadine Caron | Nurse Practitioner | 34 Pleasant Valley Rd, South Windsor, CT 06074 | 2015-11-10 |
| 1275957920 | Ellen Carol Ronsivalli | Dietitian, Registered | 70 High Street, South Windsor, CT 06074 | 2014-02-14 |
| 1881036457 | Chandra Yellinedi | Pharmacist | 55 Frazer Fir, South Windsor, CT 06074 | 2013-07-24 |
| 1144665969 | Brian Thomas Moy | Internal Medicine | 2400 Tamarack Ave Ste 101, South Windsor, CT 06074 | 2013-05-07 |
| 1093072886 | Lydia Lormand | Obstetrics & Gynecology | 2600 Tamarack Ave Ste 200, South Windsor, CT 06074 | 2012-04-18 |
| 1578847307 | International Institute for Professional Development, LLC | Social Worker | 435 Buckland Hills Road, South Windsor, CT 06074 | 2011-09-28 |
| Find all providers in zip 06074 | ||||
| Taxonomy Code | 2251P0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Pediatrics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538772215 | Amanda Masterson | Physical Therapist | 39 Happy Hill Rd, Stamford, CT 06903-1203 | 2020-08-24 |
| 1770195190 | Garrett Graham | Physical Therapist | 400 Blake St Apt 4117, New Haven, CT 06515-4419 | 2020-08-18 |
| 1639653850 | Kari Bradley Lombardo | Physical Therapist | 28 Fieldcrest Drive, Ridgefield, CT 06877 | 2018-09-24 |
| 1346784568 | Tali Faber | Physical Therapist | 3 Baldwin Pl, Westport, CT 06880-4024 | 2016-12-07 |
| 1912313511 | Stretch Pediatric Therapy and Creative Movement Studio, LLC | Physical Therapist | 199 Shunpike Rd, Cromwell, CT 06416-1142 | 2014-07-03 |
| 1780934059 | Kasie-lynne Martin | Physical Therapist | 209 Cherry Street, Milford, CT 06460 | 2012-09-14 |
| 1629350103 | Arsenio Paez | Physical Therapist | 63 Reynolds Dr, Fairfield, CT 06824-4600 | 2011-09-12 |
| 1699089250 | Robert Marotti | Physical Therapist | 216 Fairfield Beach Rd, Fairfield, CT 06824-6842 | 2010-08-05 |
| 1417276684 | Carol B. Walcott | Physical Therapist | 25 Ashford Ln, Newtown, CT 06470-1740 | 2010-05-26 |
| 1386968725 | Lenore Rokosa Robillard | Physical Therapist | 42 Posa Dr, Bristol, CT 06010-5476 | 2010-03-14 |
| Find all providers with the same taxonomy | ||||
| City | SOUTH WINDSOR |
| Zip Code | 06074 |
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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.