NEWTOWN SPORTS PODIATRY
NPI 1942218763
Podiatrist - Sports Medicine in Newtown, CT

Active since August 04, 2006
54 S MAIN ST, NEWTOWN, CT 06470(203) 426-7060(203) 270-0420 Get Directions Write a Review

NPPES record last updated: March 9, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Newtown Sports Podiatry NPPES

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

NEWTOWN SPORTS PODIATRY (NPI 1942218763) is a healthcare organization registered as a sports medicine in Newtown, Connecticut and active in the NPI registry since August 2006. The organization lists Brian W Fullem, Owner, as its authorized official.

NPPES Registry Identity

NPI1942218763
Entity TypeOrganization
Primary Taxonomy213ES0000X
Legal Business NameNEWTOWN SPORTS PODIATRY
Location Address54 S MAIN STNewtown, CT 06470-2358
Mailing Address54 S Main StNewtown, CT 06470-2358 · (203) 426-7060 · Fax (203) 270-0420
Fax(203) 270-0420
Organization SubpartNo
Authorized OfficialBrian W FullemOwner · (203) 426-7060
Enumeration DateAugust 4, 2006
Last NPPES UpdateMarch 9, 2010
NPI 1942218763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPodiatrist · Sports MedicinePodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0000X
License Licensed in CT · 000556
54 S MAIN ST, Newtown, CT 06470

Other Identifiers 3

Medicaid004112851CT
Medicare UPINU19859CT
Medicare NSC6085810001CT

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

Other Providers at the Same Location NPPES 9

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

Social Worker (Clinical)
54 S MAIN ST, NEWTOWN CLINICALN SERVICES
NEWTOWN, CT 06470
Nurse Practitioner (Family)
54 S MAIN ST
NEWTOWN, CT 06470
Nurse Practitioner (Adult Health)
54 S MAIN ST
NEWTOWN, CT 06470
Chiropractor
54 S MAIN ST
NEWTOWN, CT 06470
Clinic/Center (Podiatric)
54 S MAIN ST
NEWTOWN, CT 06470
Chiropractor
54 S MAIN ST
NEWTOWN, CT 06470
Chiropractor
54 S MAIN ST
NEWTOWN, CT 06470
Social Worker (Clinical)
54 S MAIN ST
NEWTOWN, CT 06470

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 Newtown Sports Podiatry's NPI number?

The NPI number for Newtown Sports Podiatry is 1942218763. It was assigned to this organization in the NPPES registry on August 4, 2006.

Where is Newtown Sports Podiatry located?

Newtown Sports Podiatry is located at 54 S Main St, Newtown, CT 06470. The listed phone number is (203) 426-7060.

What is Newtown Sports Podiatry's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Sports Medicine, with taxonomy code 213ES0000X.

When was this NPI record last updated?

The NPPES record for Newtown Sports Podiatry was last updated on March 9, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.