Provider Demographics
NPI:1679852503
Name:CALEPT, LLC
Entity Type:Organization
Organization Name:CALEPT, LLC
Other - Org Name:GREENWOOD PHYSICAL THERAPY
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHERINE-ANN
Authorized Official - Middle Name:G
Authorized Official - Last Name:MANZELLA
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:203-313-4021
Mailing Address - Street 1:268 GREENWOOD AVE
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BETHEL
Mailing Address - State:CT
Mailing Address - Zip Code:06801-2419
Mailing Address - Country:US
Mailing Address - Phone:203-313-4021
Mailing Address - Fax:203-438-5514
Practice Address - Street 1:268 GREENWOOD AVE
Practice Address - Street 2:SUITE 202
Practice Address - City:BETHEL
Practice Address - State:CT
Practice Address - Zip Code:06801-2419
Practice Address - Country:US
Practice Address - Phone:203-313-4021
Practice Address - Fax:203-438-5514
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-09
Last Update Date:2011-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT6081261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy