=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649476730
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | AFTERCARE PHYSICAL THERAPY SERVICES LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/25/2007
-----------------------------------------------------
Last Update Date | 09/04/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4154 MADISON AVE
-----------------------------------------------------
City | TRUMBULL
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06611-3563
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-372-5718
-----------------------------------------------------
Fax | 203-372-0291
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4154 MADISON AVE
-----------------------------------------------------
City | TRUMBULL
-----------------------------------------------------
State | CT
-----------------------------------------------------
Zip | 06611-3563
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 203-372-5718
-----------------------------------------------------
Fax | 203-372-0291
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MEMBER, LLC
-----------------------------------------------------
Name | DR. JOSEPH A MORTATI JR.
-----------------------------------------------------
Credential | DPT
-----------------------------------------------------
Telephone | 203-372-5718
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 174400000X
-----------------------------------------------------
Taxonomy Name | Specialist
-----------------------------------------------------
License Number | CT5669
-----------------------------------------------------
License Number State | CT
-----------------------------------------------------