PHYSIOCARE PHYSICAL THERAPY AND SPORTS MEDICINE, LLC
NPI 1649828005
Physical Therapist in East Lyme, CT

Active since August 29, 2019
131 BOSTON POST RD, EAST LYME, CT 06333(860) 949-2561 Get Directions Write a Review

NPPES record last updated: August 29, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

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

NPI1649828005
Entity TypeOrganization
Primary Taxonomy225100000X
Legal Business NamePHYSIOCARE PHYSICAL THERAPY AND SPORTS MEDICINE, LLC
Location Address131 BOSTON POST RDEast Lyme, CT 06333-1605
Mailing Address11 Centre St Ste 7Salem, CT 06420-3845 · (860) 949-2561 · Fax (860) 471-8388
Organization SubpartYes
Authorized OfficialJohn Howard BradfordOwner · (860) 949-2561
Enumeration DateAugust 29, 2019
✔ NPI 1649828005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225100000X
Definition
Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities to move and perform functional activities in their daily lives. PTs examine each individual and develop a plan using treatment techniques to promote the ability to move, reduce pain, restore function, and prevent disability. In addition, PTs work with individuals to prevent the loss of mobility before it occurs by developing fitness- and wellness-oriented programs for healthier and more active lifestyles. PTs:
  • 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.
PTs provide care for people in a variety of settings, including hospitals, private practices, outpatient clinics, home health agencies, schools, sports and fitness facilities, work settings, and nursing homes. State licensure is required in each state in which a PT practices.
Also ListedOccupational TherapistTaxonomy 225X00000X
131 BOSTON POST RD, East Lyme, CT 06333

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

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.

StateEnrollment IDDue date
StateConnecticutEnrollment IDO20110818000310Non-DME Part B · Clinic/Group PracticeDue dateNovember 30, 2026
Source: CMS Revalidation Due Date List, October 2026 release.

Clinicians Billing Medicare Through This Organization

2

Medicare 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)

Physical Therapist in Private Practice
NPI 1508971003
11 CENTRE ST SUITE 6&7
Salem, CT 06420
(860) 949-2561
✔ Accepts Medicare8.2 mi
Occupational Therapist in Private Practice
NPI 1619212941
11 CENTRE ST SUITE 7
Salem, CT 06420
(860) 949-2561
8.2 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 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.