Healthcare Provider Details

I. General information

NPI: 1811585466
Provider Name (Legal Business Name): VERACITY PERFORMANCE & RECOVERY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2021
Last Update Date: 12/04/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

928 EAST ST NORTH, SUFFIE
SUFFIELD CT
06078
US

IV. Provider business mailing address

928 EAST ST N
SUFFIELD CT
06078-1303
US

V. Phone/Fax

Practice location:
  • Phone: 413-203-9788
  • Fax:
Mailing address:
  • Phone: 413-203-9788
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CHRISTOPHER STACK
Title or Position: OWNER/PT
Credential: PT
Phone: 781-964-6885