Healthcare Provider Details

I. General information

NPI: 1801012067
Provider Name (Legal Business Name): EASTERN REHABILTATION NETWORK
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/17/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1260 SILAS DEANE HIGHWAY EASTERN REHABILTATION NETWORK
WETHERSFIELD CT
06109
US

IV. Provider business mailing address

1260 SILAS DEANE HIGHWAY EASTERN REHABILTATION NETWORK
WETHERSFIELD CT
06109
US

V. Phone/Fax

Practice location:
  • Phone: 860-529-3179
  • Fax: 860-571-3282
Mailing address:
  • Phone: 860-529-3179
  • Fax: 860-571-3282

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateCT
# 2
Primary TaxonomyN
Taxonomy Code225500000X
TaxonomyRespiratory/Developmental/Rehabilitative Specialist/Technologist
License Number
License Number StateCT
# 3
Primary TaxonomyN
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number StateCT

VIII. Authorized Official

Name: MRS. RITA PARISI
Title or Position: CHIEF EXECUTIVE OFFICIER
Credential:
Phone: 860-667-5480