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MANCHESTER ORTHOPEDIC SURGERY & SPORT MEDICINE
NPI 1265459077
Specialist in Manchester, CT

Active since July 16, 2006
36 HAYNES ST, MANCHESTER, CT 06040(860) 646-0188 Get Directions Write a Review

NPPES record last updated: June 9, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Manchester Orthopedic Surgery & Sport Medicine NPPES

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

MANCHESTER ORTHOPEDIC SURGERY & SPORT MEDICINE (NPI 1265459077) is a healthcare organization registered as a specialist in Manchester, Connecticut and active in the NPI registry since July 2006. The organization lists Wells C Jacobson, President, as its authorized official.

NPPES Registry Identity

NPI1265459077
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameMANCHESTER ORTHOPEDIC SURGERY & SPORT MEDICINE
Location Address36 HAYNES STManchester, CT 06040-4105
Mailing Address36 Haynes StManchester, CT 06040-4105 · (860) 646-0188
Phone(860) 646-0188
Organization SubpartNo
Authorized OfficialWells C JacobsonPresident · (860) 646-0188
Enumeration DateJuly 16, 2006
Last NPPES UpdateJune 9, 2008
✔ NPI 1265459077 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
36 HAYNES ST, Manchester, CT 06040
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Other Identifiers 1

Medicare NSC0481420001

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LESLIE BURLEIGH WOLFENDEN OTR/L
Occupational Therapist
36 HAYNES ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-1222
WELLS C JACOBSON MD
Orthopaedic Surgery
36 HAYNES ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-0188
MICHAEL M PASSARETTI MD
Orthopaedic Surgery
36 HAYNES ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-0188
DONNA KESSLER PT
Specialist
36 HAYNES ST
MANCHESTER, CT 06040
Capitol Planning Region (860) 646-0188

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 Manchester Orthopedic Surgery & Sport Medicine's NPI number?

The NPI number for Manchester Orthopedic Surgery & Sport Medicine is 1265459077. It was assigned to this organization in the NPPES registry on July 16, 2006.

Where is Manchester Orthopedic Surgery & Sport Medicine located?

Manchester Orthopedic Surgery & Sport Medicine is located at 36 Haynes St, Manchester, CT 06040. The listed phone number is (860) 646-0188.

What is Manchester Orthopedic Surgery & Sport Medicine's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Manchester Orthopedic Surgery & Sport Medicine was last updated on June 9, 2008. 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.