Healthcare Provider Details

I. General information

NPI: 1285036186
Provider Name (Legal Business Name): ORTHOCONNECTICUT, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/23/2014
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

36 OLD KINGS HWY S
DARIEN CT
06820-4552
US

IV. Provider business mailing address

36 OLD KINGS HWY S
DARIEN CT
06820-4552
US

V. Phone/Fax

Practice location:
  • Phone: 203-845-2200
  • Fax: 203-847-1940
Mailing address:
  • Phone: 203-845-2200
  • Fax: 203-847-1940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363AS0400X
TaxonomySurgical Physician Assistant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 4
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: PAUL SIROIS
Title or Position: CEO
Credential:
Phone: 203-702-6603