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General NPI Number Information
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NPI Number | 1265799365
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Entity Type | Organization
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Legal Business Name | IVYREHAB CONNECTICUT, INC.
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Dates
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Enumeration Date | 04/13/2012
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 143 SOUND BEACH AVE SUITE 100
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City | OLD GREENWICH
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State | CT
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Zip | 06870-1736
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Country | US
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Telephone | 866-489-7342
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Fax | 631-580-5222
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Provider Business Mailing Address
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Address Line | 1311 MAMARONECK AVE STE 140
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City | WHITE PLAINS
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State | NY
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Zip | 10605-5224
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SR. DIRECTOR OF PROVIDER RELATIONS
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Name | ASHLEY GRIFFITHS
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Credential |
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Telephone | 732-678-6119
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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