Provider Demographics
NPI:1790214187
Name:SPORTSPLUS PHYSICAL THERAPY LLC
Entity type:Organization
Organization Name:SPORTSPLUS PHYSICAL THERAPY LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:PAOLO
Authorized Official - Middle Name:
Authorized Official - Last Name:PIRANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:203-661-3444
Mailing Address - Street 1:282 RAILROAD AVE
Mailing Address - Street 2:
Mailing Address - City:GREENWICH
Mailing Address - State:CT
Mailing Address - Zip Code:06830-6375
Mailing Address - Country:US
Mailing Address - Phone:203-661-3444
Mailing Address - Fax:203-661-3729
Practice Address - Street 1:282 RAILROAD AVENUE
Practice Address - Street 2:
Practice Address - City:GREENWICH
Practice Address - State:CT
Practice Address - Zip Code:06830
Practice Address - Country:US
Practice Address - Phone:203-661-3444
Practice Address - Fax:203-661-3729
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-08
Last Update Date:2024-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty
No111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty
No171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty