Provider Demographics
NPI:1932325388
Name:PHYSICAL THERAPY & PILATES RESTORATION LLC
Entity Type:Organization
Organization Name:PHYSICAL THERAPY & PILATES RESTORATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICAL THERAPIST OWNER OF BUSINES
Authorized Official - Prefix:
Authorized Official - First Name:KIRSTEN
Authorized Official - Middle Name:ADAIR
Authorized Official - Last Name:ALBRECHT
Authorized Official - Suffix:
Authorized Official - Credentials:MS PT
Authorized Official - Phone:203-272-3155
Mailing Address - Street 1:575 HIGHLAND AVENUE
Mailing Address - Street 2:
Mailing Address - City:CHESHIRE
Mailing Address - State:CT
Mailing Address - Zip Code:06410
Mailing Address - Country:US
Mailing Address - Phone:203-272-3155
Mailing Address - Fax:203-272-3164
Practice Address - Street 1:575 HIGHLAND AVENUE
Practice Address - Street 2:
Practice Address - City:CHESHIRE
Practice Address - State:CT
Practice Address - Zip Code:06410
Practice Address - Country:US
Practice Address - Phone:203-272-3155
Practice Address - Fax:203-272-3164
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0040892251S0007X, 2251X0800X
0080292251S0007X
CT0080292251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Not Answered2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSportsGroup - Multi-Specialty
Not Answered2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
248310OtherHEALTHNET
1128824OtherAETNA
1942516OtherCIGNA
CT080004089CT23OtherBCBS
248310OtherHEALTHNET