PHILIP JOSEPH BRUCELLA (NPI# 1508877796) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508877796 |
| Entity Type | Individual |
| Full Name | PHILIP JOSEPH BRUCELLA |
| Practice Address |
410 Saybrook Rd Middletown CT 06457-4777 |
| Practice Telephone | 8606383820 |
| Practice Fax Number | 8606383824 |
| Mailing Telephone | 8606383820 |
| Mailing Fax Number | 8606383824 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 2251E1200X |
Physical Therapist Specialization: Ergonomics |
007755 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 2251S0007X |
Physical Therapist Specialization: Sports |
007755 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| X | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
007755 | CT | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
410 SAYBROOK RD |
| City | MIDDLETOWN |
| State | CT |
| Zip Code | 06457-4777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720069560 | Martha L Mccrann | Physician Assistant | 410 Saybrook Rd, Suite 201, Middletown, CT 06457-4777 | 2005-11-09 |
| 1114578663 | Middesex Dental Sleep Medicine LLC | Dentist | 410 Saybrook Rd, Suite 202, Middletown, CT 06457-4777 | 2019-09-26 |
| 1417314253 | Stephanie Belanger | Physical Therapist | 410 Saybrook Rd, Suite 100, Middletown, CT 06457-4777 | 2016-01-25 |
| 1366837056 | Katherine Erikson | Physician Assistant | 410 Saybrook Rd, Suite 100, Middletown, CT 06457-4777 | 2015-03-31 |
| 1205236247 | Carly Croteau | Physical Therapist | 410 Saybrook Rd, Middletown, CT 06457-4777 | 2014-08-27 |
| 1033553011 | Oaa LLC | Dentist | 410 Saybrook Rd, Middletown, CT 06457 | 2013-04-22 |
| 1073867818 | Middlesex Orthopedic Surgeons Prof Corp | Specialist | 410 Saybrook Rd, Suite 100, Middletown, CT 06457-4777 | 2012-11-01 |
| 1346596657 | Stephanie Lynn Vanheyst | Physical Therapist | 410 Saybrook Rd, Suite 100, Middletown, CT 06457-4777 | 2012-07-24 |
| 1629228556 | Cristina Alena Savin | Physician Assistant | 410 Saybrook Rd, Suite 201, Middletown, CT 06457-4777 | 2008-09-28 |
| 1386838803 | Janice Desi | Physician Assistant | 410 Saybrook Rd, Suite 100, Middletown, CT 06457-4711 | 2007-08-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699391961 | Meghan Harrington | Behavior Technician | 101 Centerpoint Drive #243, Middletown, CT 06457 | 2020-06-22 |
| 1427619626 | Collaborative Aba Services, LLC | Behavioral Analyst | 515 Centerpoint Drive, Suite 205, Middletown, CT 06457 | 2019-06-27 |
| 1376100339 | Kimberly Tynik | Pharmacist | 451 Fowler Ave, Middletown, CT 06457 | 2019-05-24 |
| 1184101263 | Tabrez Adil | Dentist | 675 Main St., Middletown, CT 06457 | 2018-07-23 |
| 1326535337 | Rehan Khan | Non-emergency Medical Transport (VAN) | 765 Country Club Rd, Middletown, CT 06457 | 2018-04-16 |
| 1366950206 | State of Connecticut | Psychiatric Hospital | 70 O'brien Drive, Middletown, CT 06457 | 2018-01-12 |
| 1902324536 | Cynthia Tine | Physical Therapy Assistant | 628 Congdon Street, Middletown, CT 06457 | 2017-09-04 |
| 1619494390 | Nathan Douglas Roy | Specialist/Technologist | 431 Briarwood Lane, Middletown, CT 06457 | 2017-08-24 |
| 1598286502 | Rachel Hoffman Whelen | Registered Nurse | 420 Saybrook Road, Suite A, Middletown, CT 06457 | 2017-06-29 |
| 1003358326 | Rebecca Rotondo | Social Worker | 230 Main Street Extension, Act Team, Gilead Community Services, Middletown, CT 06457 | 2016-11-17 |
| Find all providers in zip 06457 | ||||
| Taxonomy Code | 2251E1200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Ergonomics |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821009010 | Robyn L Stelmak | Physical Therapist | 410 Saybrook Rd, Middletown, CT 06457-4777 | 2006-08-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699333971 | Corrine A Hassett | Physical Therapist | 10 Mayfield Ter, East Lyme, CT 06333-1326 | 2019-06-03 |
| 1396002184 | Windsor Physical Therapy | Physical Therapist | 6 Poquonock Ave, Windsor, CT 06095-2551 | 2012-04-18 |
| 1205025798 | Health & Rehabilitation Partnership, LLC | Physical Therapist | 698 West Ave, Norwalk, CT 06850-3302 | 2007-10-19 |
| City | MIDDLETOWN |
| Zip Code | 06457 |
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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.