Healthcare Provider Details

I. General information

NPI: 1285598573
Provider Name (Legal Business Name): DANIEL JAMES LUDWIG PT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2025
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

252 WESTBROOK RD
ESSEX CT
06426-1513
US

IV. Provider business mailing address

252 WESTBROOK RD
ESSEX CT
06426-1513
US

V. Phone/Fax

Practice location:
  • Phone: 960-358-3974
  • Fax:
Mailing address:
  • Phone: 960-358-3974
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2081S0010X
TaxonomySports Medicine (Physical Medicine & Rehabilitation) Physician
License Number006753
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: