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CONNECTICUT BACK CENTER LLC
NPI 1174564942
Orthopaedic Surgery in Vernon, CT

Active since June 10, 2006
460 HARTFORD TPKE, SUITE B, VERNON, CT 06066(860) 872-6229(860) 872-6252 Get Directions Write a Review

NPPES record last updated: December 19, 2007. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Connecticut Back Center Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CONNECTICUT BACK CENTER LLC (NPI 1174564942) is a healthcare organization registered as an orthopaedic surgery in Vernon, Connecticut and active in the NPI registry since June 2006. The organization lists Amy Eisler, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1174564942
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameCONNECTICUT BACK CENTER LLC
Location Address460 HARTFORD TPKE, SUITE BVernon, CT 06066-4845
Mailing Address460 Hartford Tpke, Suite BVernon, CT 06066-4845 · (860) 872-6229 · Fax (860) 872-6252
Phone(860) 872-6229
Fax(860) 872-6252
Organization SubpartNo
Authorized OfficialAmy EislerOffice Manager · (860) 872-6229
Enumeration DateJune 10, 2006
Last NPPES UpdateDecember 19, 2007
✔ NPI 1174564942 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
460 HARTFORD TPKE, Vernon, CT 06066
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Other Identifiers 1

Medicare PINC03399CT

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Connecticut Back Center Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Medicare Revalidation Due Date

Revalidation due by December 31, 2026

Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.

StateEnrollment IDDue date
StateConnecticutEnrollment IDO20200304000911DME · Physician - Orthopedic/Orthopedic SurgeryDue dateDecember 31, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

5

Medicare enrollment records show 5 clinicians reassign Medicare billing to Connecticut Back Center LLC, which bills Medicare for the services they deliver. Of these, 2 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (5)

Andrew Gregory, D.C., FNP-C, R.NCS.T
Nurse Practitioner
NPI 1114961703
460 HARTFORD TPKE
Vernon, CT 06066
(860) 872-6229
✔ PECOS✔ Accepts MedicareSame address
Jesse Eisler, M.D.
Orthopedic Surgery
NPI 1326017617
460 HARTFORD TPKE SUITE B
Vernon, CT 06066
(860) 872-6229
✔ PECOS✔ Accepts MedicareSame address
Christine Bergeron, PT
Physical Therapist in Private Practice
NPI 1518976489
178 HARTFORD RD 210
Manchester, CT 06040
(860) 646-1561
✔ Accepts Medicare5.2 mi
Betty Joseph, PT
Physical Therapist in Private Practice
NPI 1346207073
705 BLOOMFIELD AVE STE 101
Bloomfield, CT 06002
(860) 242-8427
✔ Accepts Medicare13 mi
Ashish Upadhyay, MD
Orthopedic Surgery
NPI 1689873457
1389 W MAIN ST STE 123
Waterbury, CT 06708
(475) 337-7463
✔ PECOS✔ Accepts Medicare36 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Connecticut Back Center LLC's NPI number?

The NPI number for Connecticut Back Center LLC is 1174564942. It was assigned to this organization in the NPPES registry on June 10, 2006.

Where is Connecticut Back Center LLC located?

Connecticut Back Center LLC is located at 460 Hartford Tpke Suite B, Vernon, CT 06066. The listed phone number is (860) 872-6229.

What is Connecticut Back Center LLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

Is Connecticut Back Center LLC enrolled in Medicare?

Yes. Connecticut Back Center LLC is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Connecticut Back Center LLC was last updated on December 19, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.