MEDICARE: CENTER REHABILITATION & SPORTS THERAPY 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
1	332BC3200X	Customized Equipment (DME)
2	332B00000X	Durable Medical Equipment & Medical Supplies	004793	CT
3	261QP2000X	Physical Therapy Clinic/Center	4793	CT

General Provider Information

NPI Number	:	1407903545
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER REHABILITATION & SPORTS THERAPY LLC

Provider Business Mailing Address
First Line	:	60 COMMERCE PARK STE D
Second Line	:
City	:	MILFORD
State	:	CT
Zip	:	06460-3513
Country	:	US
Telephone Number	:	203-882-9384
Fax Number	:	203-882-9385

Provider Business Practice Location Address
First Line	:	60 COMMERCE PARK STE D
Second Line	:
City	:	MILFORD
State	:	CT
Zip	:	06460-3513
Country	:	US
Telephone Number	:	203-882-9384
Fax Number	:	203-882-9385

Authorized Official
Title or Position	:	OWNER
Name	:	BRIAN TIMOTHY WILLIAMS
Credential	:	MSPT
Telephone Number	:	203-882-9384

Provider Enumeration Date	:	01/04/2007
Last Update Date	:	01/20/2026

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