Healthcare Provider Details
I. General information
NPI: 1083683577
Provider Name (Legal Business Name): PTSMA INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/16/2006
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
668 BANK ST
NEW LONDON CT
06320-5040
US
IV. Provider business mailing address
4714 GETTYSBURG RD
MECHANICSBURG PA
17055-4325
US
V. Phone/Fax
- Phone: 860-442-4600
- Fax:
- Phone: 717-972-1100
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225100000X |
| Taxonomy | Physical Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225X00000X |
| Taxonomy | Occupational Therapist |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QP2000X |
| Taxonomy | Physical Therapy Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JOHN
F
DUGGAN
Title or Position: VICE PRESIDENT
Credential:
Phone: 717-972-1100