OrganizationActive
Advanced Spine and Pain Care, LLC
NPI 1275704413 · Physical Medicine & Rehabilitation Physician · Stamford, CT
Provider details
- NPI number
- 1275704413
- Entity type
- Organization
- Primary specialty
- Physical Medicine & Rehabilitation PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Yuting Xiong, President and Medical Director(203) 324-2128
- License
- 040627 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(87/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
970 Summer Street
Second Floor
Stamford, CT 06905-5518
Phone: (203) 324-2128
Fax: (203) 588-1705
Street-level locationGet directions
Mailing address
970 Summer Street
Stamford, CT 06905-5518
Registry dates
- Enumerated
- 2008-03-16
- Last updated
- 2011-03-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.