OrganizationActive
Connecticut Spine & Sports Medicine
NPI 1548464530 · Physical Therapist · Middletown, CT
Provider details
- NPI number
- 1548464530
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Gary Roegiers, Owner(860) 347-1302
- License
- 003388 (CT)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(89/100 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
80 S Main St
Middletown, CT 06457-3648
Phone: (860) 347-1302
Fax: (860) 347-1305
Street-level locationGet directions
Mailing address
80 S Main St
Middletown, CT 06457-3648
Registry dates
- Enumerated
- 2007-06-13
- Last updated
- 2007-09-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.