| Physical Therapy Center Of Bristol, Llc | |
|
72 Pine St, Bristol, CT 06010-6960 | |
| (860) 585-5800 | |
| (860) 585-5840 |
| Full Name | Physical Therapy Center Of Bristol, Llc |
|---|---|
| Type | Facility |
| Speciality | Clinic/center - Physical Therapy |
| Location | 72 Pine St, Bristol, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1396893590 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | (* (Not Available)) | Secondary |
| 261QP2000X | Clinic/center - Physical Therapy | (* (Not Available)) | Primary |
| Provider Name | Keith Sobkowiak |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1376876920 PECOS PAC ID: 5991844870 Enrollment ID: I20091207000231 |
| Provider Name | Jennifer C Brester |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1639503170 PECOS PAC ID: 5991936213 Enrollment ID: I20140328001346 |
| Provider Name | Amanda J Martin |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770009797 PECOS PAC ID: 1153695549 Enrollment ID: I20170925000323 |
| Provider Name | Spencer D Simmons |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1629594767 PECOS PAC ID: 6103192406 Enrollment ID: I20210609003345 |
| Provider Name | Brenna Megan Kelley |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1740956788 PECOS PAC ID: 8426454547 Enrollment ID: I20210914003568 |
| Provider Name | Maeghan Elizabeth Spear |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1659099406 PECOS PAC ID: 0840674248 Enrollment ID: I20220902002155 |
| Provider Name | Casey Nicole Dizinno |
|---|---|
| Provider Type | Practitioner - Physical Therapist In Private Practice |
| Provider Identifiers | NPI Number: 1770051476 PECOS PAC ID: 9133582547 Enrollment ID: I20230901001709 |
| Mailing Address | Practice Location Address |
|---|---|
| Physical Therapy Center Of Bristol, Llc Po Box 632665, Cincinnati, OH 45263-2665 Ph: (702) 818-5000 | Physical Therapy Center Of Bristol, Llc 72 Pine St, Bristol, CT 06010-6960 Ph: (860) 585-5800 |