Healthcare Provider Details

I. General information

NPI: 1588051510
Provider Name (Legal Business Name): PHYSICAL THERAPY ARTS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/16/2015
Last Update Date: 08/26/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

96 RT. 37
NEW FAIRFIELD CT
06812
US

IV. Provider business mailing address

96 RT. 37
NEW FAIRFIELD CT
06812
US

V. Phone/Fax

Practice location:
  • Phone: 203-312-0211
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MS. KAREN FAYE SCHWARZCHILD
Title or Position: OWNER/MANAGER
Credential: MAPT
Phone: 203-770-3430