Provider Demographics
NPI:1164593299
Name:RONAI, JAMES (PT, ATC, CSCS)
Entity Type:Individual
Prefix:
First Name:JAMES
Middle Name:
Last Name:RONAI
Suffix:
Gender:M
Credentials:PT, ATC, CSCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:400 BOSTON POST RD
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CT
Mailing Address - Zip Code:06477-3545
Mailing Address - Country:US
Mailing Address - Phone:203-799-3343
Mailing Address - Fax:203-517-0604
Practice Address - Street 1:400 BOSTON POST RD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CT
Practice Address - Zip Code:06477-3545
Practice Address - Country:US
Practice Address - Phone:203-799-3343
Practice Address - Fax:203-517-0604
Is Sole Proprietor?:No
Enumeration Date:2006-11-12
Last Update Date:2019-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0041092251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic