Provider Demographics
NPI:1285735308
Name:NEW ENGLAND PHYSICAL THERAPY SERVICES, P.C.
Entity type:Organization
Organization Name:NEW ENGLAND PHYSICAL THERAPY SERVICES, P.C.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:J
Authorized Official - Last Name:BUTEAU
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:203-453-5712
Mailing Address - Street 1:800 VILLAGE WALK
Mailing Address - Street 2:PMB 274
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-2762
Mailing Address - Country:US
Mailing Address - Phone:203-453-5712
Mailing Address - Fax:203-488-1029
Practice Address - Street 1:1 HAMILTON RD
Practice Address - Street 2:MEDICAL DEPT., 1-1-BC38
Practice Address - City:WINDSOR LOCKS
Practice Address - State:CT
Practice Address - Zip Code:06096-1000
Practice Address - Country:US
Practice Address - Phone:860-654-2503
Practice Address - Fax:860-654-5816
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty