CORE PHYSICAL THERAPY & SPORTS MEDICINE PC (NPI# 1609014893) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609014893 |
| Entity Type | Organization |
| Organization Name | CORE PHYSICAL THERAPY & SPORTS MEDICINE PC |
| Other Organization Name | CORE MEDICAL GROUP |
| Practice Address |
3180 Main St Ste 303, 304 Bridgeport CT 06606-4237 |
| Practice Telephone | 2033731593 |
| Practice Fax Number | 2035490899 |
| Mailing Telephone | 2033731593 |
| Mailing Fax Number | 2035490899 |
| Enumeration Date | 2009-01-27 |
| Last Update Date | 2017-01-26 |
| Authorized Official Name | MR. DAVID TUNG (PRESIDENT) |
| Authorized Official Telephone | 2033781593 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2000X |
Clinic/Center Specialization: Physical Therapy |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Core Medical Group | Doing Business As Name - Organization |
| Street Address |
3180 MAIN ST STE 303, 304 |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-4237 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174524151 | Kathryn J Quinn | Pediatrics | 3180 Main St, Suite G-1, Bridgeport, CT 06606-4237 | 2005-08-02 |
| 1659884690 | Nova Vita Medical PC | Psychiatry & Neurology | 3180 Main St, Bridgeport, CT 06606 | 2017-11-13 |
| 1023535135 | Nova Vita Health Services PC | Psychiatry & Neurology | 3180 Main St, Bridgeport, CT 06606 | 2017-08-29 |
| 1922547769 | Raj Medical Diagnostics PC | Internal Medicine | 3180 Main St, Bridgeport, CT 06606-4237 | 2017-02-13 |
| 1467808121 | Day Physical Therapy Management LLC | Physical Therapist | 3180 Main St, Suite G2, Bridgeport, CT 06606-4237 | 2016-05-11 |
| 1982020475 | Susan Krissel | Advanced Practice Midwife | 3180 Main St, Suite 202, Bridgeport, CT 06606-4237 | 2014-03-09 |
| 1477828606 | New England Orthotic & Prosthetic Systems, LLC | Durable Medical Equipment & Medical Supplies | 3180 Main St, Unit G, Bridgeport, CT 06606-4237 | 2012-03-21 |
| 1477838951 | Jeimy Bueno Canosa | Physical Therapist | 3180 Main St, Suite G2, Bridgeport, CT 06606-4237 | 2011-10-17 |
| 1255589271 | Eric P Schmitt | Physical Therapist | 3180 Main St, Suite G2, Bridgeport, CT 06606-4237 | 2008-09-03 |
| 1306004163 | Taryn Baer-shalev | Pediatrics | 3180 Main St, Bridgeport, CT 06606-4237 | 2008-05-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962023408 | Madeline Acquilano | Pharmacist | 2800 East Main St, Bridgeport, CT 06606 | 2020-05-06 |
| 1578192001 | Karin Alexandra Skalina | Student in an Organized Health Care Education/Training Program | 2800 Main St., Dept. of Medicine, Bridgeport, CT 06606 | 2020-04-06 |
| 1720641293 | Valeriia Klymenko | Student in an Organized Health Care Education/Training Program | 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2019-04-19 |
| 1821579996 | Ashley Liese | Nurse Practitioner | Cardiology Physicians of Fairfield County, 2679 Main St, Bridgeport, CT 06606 | 2018-08-27 |
| 1699261289 | Gema Estefania Giler-sacoto | Student in an Organized Health Care Education/Training Program | St. Vincent's Medical Center, 2800 Main Street, Department of Medicine, Bridgeport, CT 06606 | 2018-07-06 |
| 1114418365 | Jona Bumci | Physician Assistant | 3180 Main St Ste 304, Bridgeport, CT 06606 | 2018-05-23 |
| 1023471299 | Qmg4, LLC | Family Medicine | 4200 Main Street, Bridgeport, CT 06606 | 2016-04-04 |
| 1861867442 | Marie Dorothea Lisieski | Social Worker | 2400 Main Street, Bridgeport, CT 06606 | 2015-12-08 |
| 1548603384 | Gerald E. Hedley | Internal Medicine | 390 Charles Street Unit #101, Bridgeport, CT 06606 | 2013-04-11 |
| 1487997581 | Gerald Micalizzi, M.d., LLC | Radiology | 558 Fairview Avenue, Bridgeport, CT 06606 | 2013-03-27 |
| Find all providers in zip 06606 | ||||
| Taxonomy Code | 261QP2000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Physical Therapy |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437643061 | Mountain River Physical Therapy, LLC | Clinic/Center | 315 S Virginia Ave, Bridgeport, WV 26330-1744 | 2018-06-18 |
| 1275072985 | Bridgeport Hospital | Clinic/Center | 226 Mill Hill Ave, Bridgeport, CT 06610-2826 | 2017-02-14 |
| 1225446669 | Foundation Therapy LLC | Clinic/Center | 707 Woodrow Wilson Ray Cir, Bridgeport, TX 76426-5023 | 2014-07-29 |
| 1063650901 | Black Rock Physical Therapy | Clinic/Center | 2889 Fairfield Ave, Bridgeport, CT 06605-3211 | 2009-01-30 |
| 1669413845 | Connecticut Physical Therapy | Clinic/Center | 4675 Main St, Bridgeport, CT 06606-1813 | 2006-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669070827 | Hometown Health, LLC | Clinic/Center | 54 Hazard Ave # 161, Enfield, CT 06082-3845 | 2020-10-10 |
| 1811502867 | Zion Pt Ct PC | Clinic/Center | 1555 Post Road East, Inside Sherpa, Westport, CT 06880 | 2020-09-15 |
| 1053920439 | Oss Sports Physical Therapy | Clinic/Center | 500 Newfield Ave Ste 11, Stamford, CT 06905-3745 | 2020-07-30 |
| 1558983403 | Centrality Physical Therapy & Wellness, PC | Clinic/Center | 705 Boston Post Rd Ste 1b, Guilford, CT 06437-2733 | 2020-05-14 |
| 1639703622 | Dr Yoon Physical Therapy Inc | Clinic/Center | 609 Farmington Ave Ste Ll2, Hartford, CT 06105-3081 | 2020-02-27 |
| 1558908897 | Duncaster, Inc. | Clinic/Center | 30 Loeffler Rd., Bloomfield, CT 06002 | 2019-12-05 |
| 1609413491 | Beyond Physical Therapy LLC | Clinic/Center | 120 Steele Rd, Bristol, CT 06010-5672 | 2019-11-29 |
| 1588214381 | Good Physio Clinic Inc | Clinic/Center | 701 Cottage Grove Rd Ste 110, Bloomfield, CT 06002-3080 | 2019-09-13 |
| 1972169241 | Align Health LLC | Clinic/Center | 133 Columbia Blvd, Waterbury, CT 06710-1706 | 2019-05-13 |
| 1396209029 | My Pain Guy LLC | Clinic/Center | 50 Quality St Unit 110615, Trumbull, CT 06611-7725 | 2019-01-28 |
| Find all providers with the same taxonomy | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
Please comment or provide details below to improve the information on CORE PHYSICAL THERAPY & SPORTS MEDICINE PC.
| 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.