ECLECTIC PHYSICAL THERAPY LLC
NPI 1730421397
Clinic/Center in Bridgeport, CT

Active since March 21, 2013
2889 FAIRFIELD AVE, BRIDGEPORT, CT 06605(203) 913-6978 Get Directions Write a Review

NPPES record last updated: May 16, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Eclectic Physical Therapy Llc NPPES

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

ECLECTIC PHYSICAL THERAPY LLC (NPI 1730421397) is a healthcare organization registered as a clinic/center in Bridgeport, Connecticut and active in the NPI registry since March 2013. The organization lists Jennifer Lee Iannucci, Physical Therapist, Owner, as its authorized official.

NPPES Registry Identity

NPI1730421397
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NameECLECTIC PHYSICAL THERAPY LLC
Location Address2889 FAIRFIELD AVEBridgeport, CT 06605-3211
Mailing Address46 Driftwood LnTrumbull, CT 06611-1861 · (203) 913-6978
Organization SubpartNo
Authorized OfficialJennifer Lee IannucciPhysical Therapist, Owner · (203) 913-6978
Enumeration DateMarch 21, 2013
Last NPPES UpdateMay 16, 2014
NPI 1730421397 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License Licensed in CT · 005735
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
2889 FAIRFIELD AVE, Bridgeport, CT 06605

Other Providers at the Same Location NPPES 3

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

Clinic/Center (Physical Therapy)
2889 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Specialist
2889 FAIRFIELD AVE
BRIDGEPORT, CT 06605
Physical Therapist (Orthopedic)
2889 FAIRFIELD AVE
BRIDGEPORT, CT 06605

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 Eclectic Physical Therapy LLC's NPI number?

The NPI number for Eclectic Physical Therapy LLC is 1730421397. It was assigned to this organization in the NPPES registry on March 21, 2013.

Where is Eclectic Physical Therapy LLC located?

Eclectic Physical Therapy LLC is located at 2889 Fairfield Ave, Bridgeport, CT 06605. The listed phone number is (203) 913-6978.

What is Eclectic Physical Therapy LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

When was this NPI record last updated?

The NPPES record for Eclectic Physical Therapy LLC was last updated on May 16, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.