FAIRFIELD SPORTS AND SPINE LLC
NPI 1255660817
Physical Medicine & Rehabilitation - Sports Medicine in Bridgeport, CT

Active since December 10, 2009
650 CLINTON AVE, SECOND FLOOR, BRIDGEPORT, CT 06605(203) 372-0649 Get Directions Write a Review

NPPES record last updated: March 27, 2013. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Physical Medicine & Rehabilitation
  • Sports Medicine

About FAIRFIELD SPORTS AND SPINE LLC

This page provides the complete NPI Profile along with additional information for Fairfield Sports And Spine Llc, a provider established in Bridgeport, Connecticut operating as a Physical Medicine & Rehabilitation, focusing in sports medicine . The healthcare provider is registered in the NPI registry with number 1255660817 assigned on December 2009. The practitioner's primary taxonomy code is 2081S0010X. The provider is registered as an organization and their NPI record was last updated 13 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Sean R Kelly Md Ms (Owner)

NPI
1255660817 Verify this NPI
Provider Name
FAIRFIELD SPORTS AND SPINE LLC
Entity Type
Organization
Location Address
650 CLINTON AVE SECOND FLOOR BRIDGEPORT, CT 06605
Location Phone
(203) 372-0649
Mailing Address
10 WIMBLEDON LN EASTON, CT 06612
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-10-2009
Last Update Date
03-27-2013
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Medicine & Rehabilitation Sports Medicine

Taxonomy Code
2081S0010X
Type
Allopathic & Osteopathic Physicians
Taxonomy Description
A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. SEAN R KELLY MD MS

Authorized Official Title
OWNER
Authorized Official Phone
(203) 372-0649

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Orthopaedic Surgery
650 CLINTON AVE
BRIDGEPORT, CT 06605

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255660817, enumerated as an "organization" on December 10, 2009.

The provider is located at 650 CLINTON AVE SECOND FLOOR BRIDGEPORT, CT 06605 and the phone number is (203) 372-0649.

Physical Medicine & Rehabilitation with taxonomy code 2081S0010X and a focus in Sports Medicine.