=====================================================
General NPI Number Information
=====================================================
NPI Number | 1457405086
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HARTFORD ORTHOPAEDIC PLASTIC & HAND SURGEONS, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/22/2007
-----------------------------------------------------
Last Update Date | 06/09/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 195 EASTERN BLVD STE 200
-----------------------------------------------------
City | GLASTONBURY
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06033-4353
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 860-527-7161
-----------------------------------------------------
Fax | 860-652-8410
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 622 HEBRON AVE STE 205
-----------------------------------------------------
City | GLASTONBURY
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06033-2421
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 860-527-7161
-----------------------------------------------------
Fax | 860-652-8410
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PROGRAM MANAGER
-----------------------------------------------------
Name | RACHEL PERRRY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 860-527-7161
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2251H1200X
-----------------------------------------------------
Taxonomy Name | Hand Physical Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 225XH1200X
-----------------------------------------------------
Taxonomy Name | Hand Occupational Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------