CONNECTICUT SPINE & REHAB, LLC (NPI# 1831385913) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831385913 |
| Entity Type | Organization |
| Organization Name | CONNECTICUT SPINE & REHAB, LLC |
| Practice Address |
340 Capitol Ave Bridgeport CT 06606-5412 |
| Practice Telephone | 2033332377 |
| Practice Fax Number | 2033332378 |
| Mailing Telephone | 2033332377 |
| Mailing Fax Number | 2033332378 |
| Enumeration Date | 2007-09-21 |
| Last Update Date | 2012-11-21 |
| Authorized Official Name | DR. GLENN CHASANOFF (MEMBER) |
| Authorized Official Telephone | 2033332377 |
| Authorized Official Credential | D.C. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 111N00000X | Chiropractor | Chiropractic Providers |
| Street Address |
340 CAPITOL AVE |
| City | BRIDGEPORT |
| State | CT |
| Zip Code | 06606-5412 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164452413 | Daniel Edgardo Nijensohn | Neurological Surgery | 340 Capitol Ave, Bridgeport, CT 06606-5445 | 2006-07-03 |
| 1205077856 | Columbia Mental Health LLC | Psychiatry & Neurology | 340 Capitol Ave, Bridgeport, CT 06606-5412 | 2009-03-11 |
| 1326237256 | Daniel E Nijensohn Md PC | Neurological Surgery | 340 Capitol Ave, Bridgeport, CT 06606 | 2007-10-16 |
| 1558489161 | Kathleen Patricia Carius | Registered Nurse | 340 Capitol Ave, Bridgeport, CT 06606-5412 | 2007-03-26 |
| 1699783647 | Michael Ernest Opalak | Neurological Surgery | 340 Capitol Ave, Bridgeport, CT 06606 | 2006-08-04 |
| 1053332957 | Vanja Kondev | Psychiatry & Neurology | 340 Capitol Ave, Bridgeport, CT 06606-5412 | 2006-07-23 |
| 1407875370 | James Patrick Berg | Physical Therapist | 340 Capitol Ave, Bridgeport, CT 06606-5445 | 2006-07-19 |
| 1073539367 | Patrick Paul Mastroianni | Specialist | 340 Capitol Ave, Bridgeport, CT 06606-5445 | 2006-07-13 |
| 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 | 111N00000X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740677293 | Chiropractors Without Borders | Chiropractor | 630 Brooklawn Ave, Bridgeport, CT 06604-1528 | 2015-04-22 |
| 1396167698 | Brian Piecuch | Chiropractor | 40 Patricia Rd Unit C, Bridgeport, CT 06606-2083 | 2014-01-06 |
| 1609208164 | Jonathan Daniel Rosa | Chiropractor | 955 Main St Apt 812, Bridgeport, CT 06604-4336 | 2013-08-06 |
| 1831477975 | Noel Heriberto Sepulveda | Chiropractor | 1187 Broad St, Lower Level, Bridgeport, CT 06604-4101 | 2011-07-22 |
| 1710218045 | Best Chiropractic Clinic Inc | Chiropractor | 102 Hill St, Bridgeport, WV 26330-1756 | 2010-01-27 |
| 1235377896 | James W Leonette | Chiropractor | 130 Professional Pl, Bridgeport, WV 26330-4599 | 2009-02-04 |
| 1417109323 | James Jarrett Webb | Chiropractor | 1114 Halsell St, Bridgeport, TX 76426-3032 | 2008-10-22 |
| 1104073220 | Kristen Ann Kaczanowski | Chiropractor | 1115 Main Street, Suite #412, Bridgeport, CT 06604-4406 | 2008-08-20 |
| 1558520635 | David C Arpie | Chiropractor | 1700a Barnum Ave, Bridgeport, CT 06610-3206 | 2008-06-04 |
| 1649449695 | Booth Chiropractic | Chiropractor | 56104 National Rd Ste 112a, Bridgeport, OH 43912-2506 | 2008-02-25 |
| Find all providers in BRIDGEPORT | ||||
| City | BRIDGEPORT |
| Zip Code | 06606 |
Please comment or provide details below to improve the information on CONNECTICUT SPINE & REHAB, LLC.
| 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.