Provider Demographics
NPI:1760657712
Name:LITCHFIELD HILLS ORTHOPEDIC ASSOCIATES, LLP
Entity Type:Organization
Organization Name:LITCHFIELD HILLS ORTHOPEDIC ASSOCIATES, LLP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NATHANAEL
Authorized Official - Middle Name:T
Authorized Official - Last Name:TRYTHALL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-496-4160
Mailing Address - Street 1:245 ALVORD PARK RD
Mailing Address - Street 2:
Mailing Address - City:TORRINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06790-3493
Mailing Address - Country:US
Mailing Address - Phone:860-482-8539
Mailing Address - Fax:860-482-0258
Practice Address - Street 1:281 N MAIN ST
Practice Address - Street 2:
Practice Address - City:BRISTOL
Practice Address - State:CT
Practice Address - Zip Code:06010-4971
Practice Address - Country:US
Practice Address - Phone:860-582-0822
Practice Address - Fax:860-582-0204
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LITCHFIELD HILLS ORTHOPEDIC ASSOCIATES, LLP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-04-29
Last Update Date:2017-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic SurgeryGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty
No363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004197738Medicaid
CT004197738Medicaid
CT6147740002Medicare NSC