Healthcare Provider Details

I. General information

NPI: 1003725094
Provider Name (Legal Business Name): PAUL GREGORY LOFTUS MS
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2026
Last Update Date: 09/04/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 PERRYRIDGE RD
GREENWICH CT
06830-4697
US

IV. Provider business mailing address

150 SOUTHFIELD AVE APT 1114
STAMFORD CT
06902-7757
US

V. Phone/Fax

Practice location:
  • Phone: 203-863-3203
  • Fax: 203-863-4663
Mailing address:
  • Phone: 203-863-3304
  • Fax: 203-863-4663

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number03-642805
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: