Tlcpt

LBN: Black Rock Physical Therapy
Tlcpt is an health care organization with primary practice located at 2889 Fairfield Ave , Bridgeport CT 06605-3211. The organization recently has only one registered license in Ambulatory Health Care Facilities / Physical Therapy, which is considered as the primary health care specialty. Black Rock Physical Therapy can be contacted via phone (203) 335-1987, or through Collins, Tara Lynn via phone (203) 345-1720.

Contact Information

Primary practice address
2889 Fairfield Ave Bridgeport CT 06605-3211
Phone: (203) 335-1987
Fax: (203) 549-0725
Website:
Map and Directions
Authorized official contact:
Name: Collins, Tara Lynn P.T., IMT.C., CSCS
Phone: (203) 345-1720

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Physical Therapy 261QP2000X 004078 Connecticut

Profile Details

NPI number 1063650901
LBN Legal business name Black Rock Physical Therapy
DBA Doing business as Tlcpt
Authorized official Collins, Tara Lynn P.T., IMT.C., CSCS
Entity Organization
Organization subpart 1 No
Enumeration date Jan 30th, 2009
Last updated May 3rd, 2018 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063650901 NPPES
Connecticut Other D100000150 MEDICARE PTAN

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