OrganizationActive
Advantage Physical Therapy & Sports Medicine, LLC
NPI 1366523029 · Physical Therapist · Windsor, CT
Provider details
- NPI number
- 1366523029
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Mark Sullivan, Partner(860) 683-1007
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
340 Broad St
1st Floor
Windsor, CT 06095-3030
Phone: (860) 683-1007
Fax: (860) 683-1772
Street-level locationGet directions
Mailing address
340 Broad St
Windsor, CT 06095-3030
Registry dates
- Enumerated
- 2006-10-18
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.