PHYSIOCARE PHYSICAL THERAPY AND SPORTS MEDICINE, LLC
NPI 1649828005
Physical Therapist in East Lyme, CT
About Physiocare Physical Therapy And Sports Medicine, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PHYSIOCARE PHYSICAL THERAPY AND SPORTS MEDICINE, LLC (NPI 1649828005) is a healthcare organization registered as a physical therapist in East Lyme, Connecticut and active in the NPI registry since August 2019. The organization lists John Howard Bradford, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Group Practice 1
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)
Physiocare Physical Therapy And Sports Medicine, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by November 30, 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.
Clinicians Billing Medicare Through This Organization
2Medicare enrollment records show 2 clinicians reassign Medicare billing to Physiocare Physical Therapy And Sports Medicine, LLC, which bills Medicare for the services they deliver. Of these, 2 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (2)
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 Physiocare Physical Therapy And Sports Medicine, LLC's NPI number?
The NPI number for Physiocare Physical Therapy And Sports Medicine, LLC is 1649828005. It was assigned to this organization in the NPPES registry on August 29, 2019.
Where is Physiocare Physical Therapy And Sports Medicine, LLC located?
Physiocare Physical Therapy And Sports Medicine, LLC is located at 131 Boston Post Rd, East Lyme, CT 06333. The listed phone number is (860) 949-2561.
What is Physiocare Physical Therapy And Sports Medicine, LLC's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Physiocare Physical Therapy And Sports Medicine, LLC enrolled in Medicare?
Yes. Physiocare Physical Therapy And Sports Medicine, LLC is registered in the Medicare PECOS enrollment system.
When is Physiocare Physical Therapy And Sports Medicine, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Connecticut, Clinic/Group Practice) is due for revalidation by November 30, 2026. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Physiocare Physical Therapy And Sports Medicine, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to Physiocare Physical Therapy And Sports Medicine, LLC, in Occupational Therapist in Private Practice and Physical Therapist in Private Practice. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 2 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Physiocare Physical Therapy And Sports Medicine, LLC was last updated on August 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.