MCLEAN OUTPATIENT REHAB
NPI 1366569964
Physical Therapist in Simsbury, CT

NPI Status: Active since March 26, 2007

Contact Information

75 GREAT POND RD
SIMSBURY, CT
ZIP 06070
Phone: (860) 658-3700
Fax: (860) 651-1247

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  • Organization
  • Physical Therapist

About MCLEAN OUTPATIENT REHAB

This page provides the complete NPI Profile along with additional information for Mclean Outpatient Rehab, a provider established in Simsbury, Connecticut operating as a Physical Therapist. The healthcare provider is registered in the NPI registry with number 1366569964 assigned on March 2007. The practitioner's primary taxonomy code is 225100000X with license number 884-C (CT). The provider is registered as an organization and their NPI record was last updated 12 years ago. Mclean Outpatient Rehab operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Mclean Outpatient Rehab. The authorized official of this NPI record is Mr. David Bordanaro (President)

NPI
1366569964
Provider Legal Name
MCLEAN AFFILIATES, INC.
Other Organization Name
MCLEAN OUTPATIENT REHAB
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
75 GREAT POND RD SIMSBURY, CT 06070
Location Phone
(860) 658-3700
Location Fax
(860) 651-1247
Mailing Address
75 GREAT POND RD SIMSBURY, CT 06070
Mailing Phone
(860) 658-3700
Mailing Fax
(860) 651-1247
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-26-2007
Last Update Date
07-23-2013
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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.
884-C
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.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers

Occupational Therapist

884-C (CT)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

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

MR. DAVID BORDANARO

Authorized Official Title
PRESIDENT
Authorized Official Phone
(860) 658-3700

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
076542MEDICARE OSCAR/CERTIFICATION (06)CT 

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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.
1366569964
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2312610618912
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 1 + 2 + 6 + 1 + 0 + 6 + 1 + 8 + 9 + 1 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1366569964 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1508844168MCLEAN AFFILIATES, INC.
Organization
Skilled Nursing Facility75 GREAT POND RD
SIMSBURY, CT 06070
(860) 658-3700
1417177171 JENNIFER A. TAYLOR PT
Individual
Physical Therapist75 GREAT POND RD OUPATIENT PHYSICAL THERAPY
SIMSBURY, CT 06070
(860) 658-3745
1063632727MRS. FAWN SHERYL OLDHAM PT
Individual
Physical Therapist75 GREAT POND RD
SIMSBURY, CT 06070
(860) 658-3745
1649492273MCLEAN FUND
Organization
Nursing Facility/Intermediate Care Facility75 GREAT POND RD
SIMSBURY, CT 06070
(860) 653-3700
1215140744 BARBARA EVANS PT
Individual
Physical Therapist75 GREAT POND RD MCLEAN HEALTH CENTER
SIMSBURY, CT 06070
(860) 658-3700
1386858553 ERIC THARALDSON PT
Individual
Physical Therapist75 GREAT POND RD
SIMSBURY, CT 06070
(860) 658-3700
1215147806MRS. DOROTHY WITTE VILLANO III PT
Individual
Physical Therapist75 GREAT POND RD
SIMSBURY, CT 06070
(860) 658-3745
1184827263MRS. LAURA FEENEY OTR
Individual
Occupational Therapist75 GREAT POND RD
SIMSBURY, CT 06070
(860) 658-3745
1497911622MRS. MARY C GIBBONS PT
Individual
Physical Therapist75 GREAT POND RD
SIMSBURY, CT 06070
(860) 658-3745
1659523165MRS. BARBARA ANN DICKS APRN
Individual
Nurse Practitioner (Gerontology)75 GREAT POND RD
SIMSBURY, CT 06070
(860) 658-3745
1750536470 SUSAN GROUT ADAMOWICZ OTR/L
Individual
Occupational Therapist75 GREAT POND RD
SIMSBURY, CT 06070
(860) 658-3700
1467691386 VIRGINIA MULPETER MS CCC
Individual
Speech-Language Pathologist75 GREAT POND RD
SIMSBURY, CT 06070
(860) 658-3700
1477884526 LAURA REESE
Individual
Speech-Language Pathologist75 GREAT POND RD
SIMSBURY, CT 06070
(860) 658-3745
1437136728MCLEAN AFFILIATES, INC.
Organization
Home Health75 GREAT POND RD
SIMSBURY, CT 06070
(860) 658-3950
1891813655MCLEAN AFFILIATES, INC.
Organization
Hospice Care, Community Based75 GREAT POND RD
SIMSBURY, CT 06070
(860) 658-3950
1295192102 TAMRA RYAN
Individual
Physical Therapist75 GREAT POND RD
SIMSBURY, CT 06070
(860) 658-3745
1972019206 CARYN BRADY
Individual
Physical Therapist75 GREAT POND RD
SIMSBURY, CT 06070
(860) 658-3745
1104326339 JEAN MILES DPT
Individual
Physical Medicine & Rehabilitation (Neuromuscular Medicine)75 GREAT POND RD
SIMSBURY, CT 06070
(860) 658-3950
1326520297 STEPHANIE KING PITNEY
Individual
Occupational Therapy Assistant75 GREAT POND RD
SIMSBURY, CT 06070
(860) 658-3700
1356997696 CRISTI HABER DONATO
Individual
Occupational Therapist75 GREAT POND RD
SIMSBURY, CT 06070
(860) 658-3986

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1366569964, enumerated in the NPI registry as an "organization" on March 26, 2007

The provider is located at 75 Great Pond Rd Simsbury, Ct 06070 and the phone number is (860) 658-3700

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

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

This NPI record was last updated on March 26, 2007. 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].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.