CONNECTICUT OSTEOPATHIC CENTER
NPI 1649929126
Internal Medicine - Sports Medicine in Canton, CT

Active since March 22, 2022
141 DOWD AVE, CANTON, CT 06019(570) 498-4879 Get Directions Write a Review

NPPES record last updated: March 22, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Connecticut Osteopathic Center NPPES

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

CONNECTICUT OSTEOPATHIC CENTER (NPI 1649929126) is a healthcare organization registered as a sports medicine in Canton, Connecticut and active in the NPI registry since March 2022. The organization lists Lisa Gronski, Owner, as its authorized official.

NPPES Registry Identity

NPI1649929126
Entity TypeOrganization
Primary Taxonomy207RS0010X
Legal Business NameCONNECTICUT OSTEOPATHIC CENTER
Location Address141 DOWD AVECanton, CT 06019-2401
Mailing Address304 W. Main St, Suite 2, #135Avon, CT 06001
Organization SubpartNo
Authorized OfficialLisa GronskiOwner · (570) 498-4879
Enumeration DateMarch 22, 2022
NPPES CertifiedMarch 21, 2022
✔ NPI 1649929126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RS0010X
Definition
An internist trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the healthcare of the individual.
141 DOWD AVE, Canton, CT 06019

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Connecticut Osteopathic Center, which bills Medicare for the services this clinician delivers.

Clinician (1)

Internal Medicine
NPI 1265758577
339 W MAIN ST
Avon, CT 06001
(860) 696-2150
✔ PECOS✔ Accepts Medicare1.9 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 Osteopathic Center's NPI number?

The NPI number for Connecticut Osteopathic Center is 1649929126. It was assigned to this organization in the NPPES registry on March 22, 2022.

Where is Connecticut Osteopathic Center located?

Connecticut Osteopathic Center is located at 141 Dowd Ave, Canton, CT 06019. The listed phone number is (570) 498-4879.

What is Connecticut Osteopathic Center's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Sports Medicine, with taxonomy code 207RS0010X.

Is Connecticut Osteopathic Center enrolled in Medicare?

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

How many clinicians bill Medicare through Connecticut Osteopathic Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Internal Medicine) reassigns their Medicare billing to Connecticut Osteopathic Center. 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. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Connecticut Osteopathic Center was last updated on March 22, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.