OrganizationActive
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NPI 1780696278 · Physical Therapist · Enfield, CT
Provider details
- NPI number
- 1780696278
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Robert Krug, President(860) 714-2614
- License
- 005572 (CT)
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
7 Elm St
Suite 204
Enfield, CT 06082-3669
Phone: (860) 741-2242
Fax: (860) 741-2248
Street-level locationGet directions
Mailing address
490 Blue Hills Ave
Hartford, CT 06112-1513
Registry dates
- Enumerated
- 2006-08-12
- Last updated
- 2016-11-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.