Healthcare Provider Details

I. General information

NPI: 1285735308
Provider Name (Legal Business Name): NEW ENGLAND PHYSICAL THERAPY SERVICES, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 HAMILTON RD MEDICAL DEPT., 1-1-BC38
WINDSOR LOCKS CT
06096-1000
US

IV. Provider business mailing address

800 VILLAGE WALK PMB 274
GUILFORD CT
06437-2762
US

V. Phone/Fax

Practice location:
  • Phone: 860-654-2503
  • Fax: 860-654-5816
Mailing address:
  • Phone: 203-453-5712
  • Fax: 203-488-1029

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. JOSEPH J. BUTEAU
Title or Position: PRESIDENT
Credential: PT
Phone: 203-453-5712