Healthcare Provider Details

I. General information

NPI: 1669995163
Provider Name (Legal Business Name): ORTHOCONNECTICUT, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/18/2017
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

323 RIVERSIDE AVE
WESTPORT CT
06880-4810
US

IV. Provider business mailing address

323 RIVERSIDE AVE
WESTPORT CT
06880-4825
US

V. Phone/Fax

Practice location:
  • Phone: 203-845-2200
  • Fax: 203-847-1940
Mailing address:
  • Phone: 203-845-2200
  • Fax: 203-847-1940

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License Number
License Number State
# 2
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