MEDICARE: DANIEL CODRINGTON PT, DPT

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
1	225100000X	Physical Therapist	14.013487-TEMP	CT
2	225100000X	Physical Therapist	13707	CT

General Provider Information

NPI Number	:	1336887280
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DANIEL CODRINGTON PT, DPT

Provider Business Mailing Address
First Line	:	1311 MAMARONECK AVE STE 140
Second Line	:
City	:	WHITE PLAINS
State	:	NY
Zip	:	10605-5224
Country	:	US
Telephone Number	:	914-294-4050
Fax Number	:	631-760-8306

Provider Business Practice Location Address
First Line	:	1445 NEW BRITAIN AVE STE 1397
Second Line	:
City	:	WEST HARTFORD
State	:	CT
Zip	:	06110-1659
Country	:	US
Telephone Number	:	860-629-0860
Fax Number	:	860-768-9766

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/21/2022
Last Update Date	:	09/02/2022

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