Provider Demographics
NPI:1841214319
Name:QUALITY PHYSICAL THERAPY LLC
Entity Type:Organization
Organization Name:QUALITY PHYSICAL THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:JEANNE
Authorized Official - Middle Name:L
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:RPT
Authorized Official - Phone:860-674-1852
Mailing Address - Street 1:10 TALCOTT NOTCH RD
Mailing Address - Street 2:STE 101
Mailing Address - City:FARMINGTON
Mailing Address - State:CT
Mailing Address - Zip Code:06032
Mailing Address - Country:US
Mailing Address - Phone:860-674-1852
Mailing Address - Fax:860-674-1937
Practice Address - Street 1:270 FARMINGTON AVE STE 337
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:CT
Practice Address - Zip Code:06032-1909
Practice Address - Country:US
Practice Address - Phone:860-674-1852
Practice Address - Fax:860-674-1937
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2023-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
7293638OtherREFERRAL #
1243160OtherAETNA
3378723OtherCIGNA
080004017CT30OtherBLUE CROSS BLUE SHIELD
7293638OtherREFERRAL #