Healthcare Provider Details

I. General information

NPI: 1356567507
Provider Name (Legal Business Name): EASTERN REHABILITATION NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1064 EAST MAIN STREET EASTERN REHABILITATION NETWORK
MERIDEN CT
06450
US

IV. Provider business mailing address

1064 EAST MAIN STREET EASTERN REHABILITATION NETWORK
MERIDEN CT
06450
US

V. Phone/Fax

Practice location:
  • Phone: 203-235-9622
  • Fax: 203-630-3600
Mailing address:
  • Phone: 203-235-9622
  • Fax: 203-630-3600

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateCT
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateCT

VIII. Authorized Official

Name: MRS. RITA PARISI
Title or Position: CHIEF EXECUTIVE OFFICIER
Credential:
Phone: 860-667-5480