Healthcare Provider Details

I. General information

NPI: 1568501864
Provider Name (Legal Business Name): ORTHOCONNECTICUT, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/05/2007
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 MAIN ST S
SOUTHBURY CT
06488-4237
US

IV. Provider business mailing address

2 RIVERVIEW DR
DANBURY CT
06810-4210
US

V. Phone/Fax

Practice location:
  • Phone: 203-797-1500
  • Fax: 475-289-7460
Mailing address:
  • Phone: 203-797-1500
  • Fax: 203-730-9507

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: PAUL SIROIS
Title or Position: CEO
Credential:
Phone: 203-702-6603