Healthcare Provider Details

I. General information

NPI: 1831594829
Provider Name (Legal Business Name): APEX PHYSICAL THERAPY, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/03/2014
Last Update Date: 04/13/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

825 CROMWELL AVE STE Q
ROCKY HILL CT
06067-3013
US

IV. Provider business mailing address

825 CROMWELL AVE STE Q
ROCKY HILL CT
06067-3013
US

V. Phone/Fax

Practice location:
  • Phone: 860-257-3779
  • Fax: 860-257-3780
Mailing address:
  • Phone: 860-257-3779
  • Fax: 860-257-3780

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number004389
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code2251S0007X
TaxonomySports Physical Therapist
License Number004389
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number004389
License Number StateCT
# 4
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number004389
License Number StateCT

VIII. Authorized Official

Name: DR. ANAND KUMAR BISHNOI
Title or Position: DIRECTOR/OWNER
Credential: DPT
Phone: 860-257-3779