Provider Demographics
NPI:1871872713
Name:PHYSICAL THERAPY SPECIALISTS
Entity type:Organization
Organization Name:PHYSICAL THERAPY SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:SHERMAN
Authorized Official - Last Name:BAUER
Authorized Official - Suffix:IV
Authorized Official - Credentials:DPT
Authorized Official - Phone:203-458-1645
Mailing Address - Street 1:705 BOSTON POST RD STE 5A
Mailing Address - Street 2:
Mailing Address - City:GUILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06437-2733
Mailing Address - Country:US
Mailing Address - Phone:203-458-1645
Mailing Address - Fax:203-458-1689
Practice Address - Street 1:705 BOSTON POST RD STE 5A
Practice Address - Street 2:
Practice Address - City:GUILFORD
Practice Address - State:CT
Practice Address - Zip Code:06437-2733
Practice Address - Country:US
Practice Address - Phone:203-458-1645
Practice Address - Fax:203-458-1689
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-09
Last Update Date:2025-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT006738261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy