Healthcare Provider Details

I. General information

NPI: 1497625594
Provider Name (Legal Business Name): JOHN CHRISTOPHER ROSSI
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2025
Last Update Date: 11/07/2025
Certification Date: 11/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

512 SAYBROOK RD LOWR LEVEL
MIDDLETOWN CT
06457-4788
US

IV. Provider business mailing address

9 ELBOW LN
PLAINVILLE CT
06062-2226
US

V. Phone/Fax

Practice location:
  • Phone: 860-358-2700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number006956
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: