Healthcare Provider Details

I. General information

NPI: 1689686545
Provider Name (Legal Business Name): DARIEN PHYSICAL THERAPY CENTER, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/12/2006
Last Update Date: 01/25/2022
Certification Date: 01/25/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 POST RD STE 201
DARIEN CT
06820-3614
US

IV. Provider business mailing address

455 POST RD STE 201
DARIEN CT
06820-3614
US

V. Phone/Fax

Practice location:
  • Phone: 203-655-6464
  • Fax: 203-655-2859
Mailing address:
  • Phone: 203-655-6464
  • Fax: 203-655-2859

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number4300265-000
License Number StateCT

VIII. Authorized Official

Name: MR. MICHAEL HENRY MORGAN
Title or Position: OWNER
Credential: M.S., P.T., A.T., C.
Phone: 203-655-6464