Provider Demographics
NPI:1548370257
Name:STRITTMATTER, ROBERT CHRISTOPHER (DPT, OCS)
Entity type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:CHRISTOPHER
Last Name:STRITTMATTER
Suffix:
Gender:M
Credentials:DPT, OCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:131 KENT ROAD
Mailing Address - Street 2:SELECT PHYSICAL THERAPY
Mailing Address - City:NEW MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06776
Mailing Address - Country:US
Mailing Address - Phone:860-350-3330
Mailing Address - Fax:860-350-3520
Practice Address - Street 1:131 KENT ROAD
Practice Address - Street 2:SELECT PHYSICAL THERAPY
Practice Address - City:NEW MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06776
Practice Address - Country:US
Practice Address - Phone:860-350-3330
Practice Address - Fax:860-350-3520
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2010-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
225100000X
CT#0078912251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO2003014714OtherLICENSE #