Provider Demographics
NPI:1972575660
Name:SWEENEY, CYNTHIA (PT)
Entity type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:SWEENEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2119 POST RD
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06824-5657
Mailing Address - Country:US
Mailing Address - Phone:203-259-7177
Mailing Address - Fax:203-256-9217
Practice Address - Street 1:2119 POST ROAD
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06824-2024
Practice Address - Country:US
Practice Address - Phone:203-259-7177
Practice Address - Fax:203-256-9217
Is Sole Proprietor?:No
Enumeration Date:2006-02-06
Last Update Date:2013-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001566225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYQ76711OtherEMPIRE BLUE CROSS
CT080001566OtherBLUE CROSS BLUE SHIELD
CT080001566OtherBLUE CROSS BLUE SHIELD