OrganizationActive
Performance Physical Therapy & Sports Medicine, Inc
NPI 1225105448 · Hand Occupational Therapist · Colchester, CT
Provider details
- NPI number
- 1225105448
- Entity type
- Organization
- Primary specialty
- Hand Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Christopher Dipasquale, President(860) 537-3014
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Physical Therapist225100000X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Geriatric Physical Therapist2251G0304X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Hand Physical Therapist2251H1200X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Neurology Physical Therapist2251N0400X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sports Physical Therapist2251S0007X
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Practice location
171 Norwich Ave
Colchester, CT 06415-1274
Phone: (860) 537-3014
Fax: (860) 537-1420
Approximate (ZIP-level) locationGet directions
Mailing address
171 Norwich Ave
Colchester, CT 06415-1274
Registry dates
- Enumerated
- 2006-11-30
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.