PHYSICAL THERAPY OF MYSTIC, LLC
NPI 1245592617
Physical Therapist in Groton, CT

NPI Status: Active since June 12, 2012

Contact Information

481 GOLD STAR HWY
SUITE 201
GROTON, CT
ZIP 06340
Phone: (860) 445-9433
Fax: (860) 445-8802

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  • Organization
  • Physical Therapist

About PHYSICAL THERAPY OF MYSTIC, LLC

This page provides the complete NPI Profile along with additional information for Physical Therapy Of Mystic, Llc, a provider established in Groton, Connecticut operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1245592617 assigned on June 2012. The practitioner's primary taxonomy code is 225100000X with license number 003770 (CT). The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Ron A Agostini Pt (Owner)

NPI
1245592617
Provider Name
PHYSICAL THERAPY OF MYSTIC, LLC
Entity Type
Organization
Location Address
481 GOLD STAR HWY SUITE 201 GROTON, CT 06340
Location Phone
(860) 445-9433
Location Fax
(860) 445-8802
Mailing Address
481 GOLD STAR HWY SUITE 201 GROTON, CT 06340
Mailing Phone
(860) 445-9433
Mailing Fax
(860) 445-8802
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-12-2012
Last Update Date
06-12-2012
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Therapist

Taxonomy Code
225100000X
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
License No.
003770
License State
CT
Taxonomy Description
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • Diagnose and manage movement dysfunction and enhance physical and functional abilities.
  • Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
  • Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
  • Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
  • Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RON A AGOSTINI PT

Authorized Official Title
OWNER
Authorized Official Phone
(860) 445-9433

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1245592617
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2285109462
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 8 + 5 + 1 + 0 + 9 + 4 + 6 + 2 + 24 = 63
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 63 = 77

The NPI number 1245592617 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1326055062 MARITZA BOURASSA LCSW
Individual
Social Worker (Clinical)481 GOLD STAR HWY SUITE 301
GROTON, CT 06340
(860) 448-9755
1376631382MRS. LAUREL ANNE WIERS LMFT
Individual
Marriage & Family Therapist481 GOLD STAR HWY SUITE 301
GROTON, CT 06340
(860) 448-9755
1952596173 RON A. AGOSTINI P.T.
Individual
Physical Therapist481 GOLD STAR HWY SUITE 201
GROTON, CT 06340
(860) 445-9433
1730400318MICHELLE BUSSOLOTTI, LMFT
Organization
Marriage & Family Therapist481 GOLD STAR HWY
GROTON, CT 06340
(860) 961-4951
1437334851COMMUNITY HEALTH CENTER INC
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))481 GOLD STAR HWY SUITE 100
GROTON, CT 06340
(860) 446-8858
1699799932DR. WILLIE J. COLEMAN JR. PH.D.
Individual
Psychologist481 GOLD STAR HWY SUITE 301
GROTON, CT 06340
(860) 405-0490
1659713428KLA KEMP, LLC
Organization
Social Worker (Clinical)481 GOLD STAR HWY
GROTON, CT 06340
(860) 857-6429
1558473769MR. THOMAS KUCHARCHIK MD
Individual
Family Medicine481 GOLD STAR HWY SUITE 100
GROTON, CT 06340
(860) 446-8858
1346246444 ANANDHI BALESWAREN MD
Individual
Internal Medicine481 GOLD STAR HWY SUITE 100
GROTON, CT 06340
(860) 446-8858
1932518008 SARAH M RICCITELLI DPT
Individual
Physical Therapist481 GOLD STAR HWY SUITE 302
GROTON, CT 06340
(860) 446-8254
1437284395 SUSAN B KOHN F.N.P.
Individual
Nurse Practitioner (Family)481 GOLD STAR HWY SUITE 100
GROTON, CT 06340
(860) 446-8858
1760856181KMG THERAPY AND CONSULTING LLC
Organization
Social Worker (Clinical)481 GOLD STAR HWY SUITE 301
GROTON, CT 06340
(860) 917-1779
1972849289 KAILEAH CHRISTIE-FOGG LCSW
Individual
Social Worker481 GOLD STAR HWY 301
GROTON, CT 06340
(860) 287-6393
1780057653KAILEAH CHRISTIE-FOGG, LLC
Organization
Social Worker (Clinical)481 GOLD STAR HWY SUITE 301
GROTON, CT 06340
(860) 287-6393
1568522514DR S D GOLDBERG LLC
Organization
Marriage & Family Therapist481 GOLD STAR HWY SUITE 301
GROTON, CT 06340
(860) 446-7573

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1245592617, enumerated in the NPI registry as an "organization" on June 12, 2012

The provider is located at 481 Gold Star Hwy Suite 201 Groton, Ct 06340 and the phone number is (860) 445-9433

This medical organization specializes in Physical Therapist with taxonomy code 225100000X

This NPI record was last updated on June 12, 2012. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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