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NPI Code Detail

MEDICARE: MR. PAUL EDMUND HIGGINS MPT

MEDICARE: MR. PAUL EDMUND HIGGINS MPT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist6552CT
22251S0007XSports Physical Therapist6552CT
32251X0800XOrthopedic Physical Therapist6552CT

General Provider Information

NPI Number : 1316907561
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. PAUL EDMUND HIGGINS MPT
Provider Business Mailing Address
First Line : 37 ARMSTRONG RD
Second Line :
City : ENFIELD
State : CT
Zip : 06082-2731
Country : US
Telephone Number : 860-749-5747
Fax Number :
Provider Business Practice Location Address
First Line : 200 BLOOMFIELD AVE
Second Line : HEALTH SERVICE OFFICE
City : WEST HARTFORD
State : CT
Zip : 06117-1545
Country : US
Telephone Number : 860-768-5335
Fax Number : 860-768-7892
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2006
Last Update Date : 09/11/2025

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