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NPI Code Detail

MEDICARE: PREFERRED THERAPY OUTPATIENT SERVICES, LLC

MEDICARE: PREFERRED THERAPY OUTPATIENT SERVICES, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational Therapist
2235Z00000XSpeech-Language Pathologist
3261QR0400XRehabilitation Clinic/Center
4225100000XPhysical Therapist

General Provider Information

NPI Number : 1285431130
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREFERRED THERAPY OUTPATIENT SERVICES, LLC
Provider Business Mailing Address
First Line : 850 SILAS DEANE HWY FL 2
Second Line :
City : WETHERSFIELD
State : CT
Zip : 06109-3440
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 425 DROZDYK DR
Second Line :
City : GROTON
State : CT
Zip : 06340-4248
Country : US
Telephone Number : 860-610-0400
Fax Number :
Authorized Official
Title or Position : DIRECTOR OF OUTPATIENT SERVICES
Name : RACHAEL MAIOCCO PERCOCO
Credential :
Telephone Number : 860-918-4742
Provider Enumeration Date : 02/27/2025
Last Update Date : 02/27/2025

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Directions to “PREFERRED THERAPY OUTPATIENT SERVICES, LLC ” Practice Location

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