Healthcare Provider Details

I. General information

NPI: 1013966209
Provider Name (Legal Business Name): CONTI ORTHOPEDIC APPLIANCE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/08/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1040 ROUTE 80
GUILFORD CT
06437-1212
US

IV. Provider business mailing address

1040 ROUTE 80
GUILFORD CT
06437-1212
US

V. Phone/Fax

Practice location:
  • Phone: 203-457-1779
  • Fax: 203-457-9096
Mailing address:
  • Phone: 203-457-1779
  • Fax: 203-457-9096

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code225000000X
TaxonomyOrthotic Fitter
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. THOMAS P CONTI
Title or Position: PRES
Credential: CPO
Phone: 203-457-1779