Provider Demographics
NPI:1457405086
Name:HARTFORD ORTHOPAEDIC PLASTIC & HAND SURGEONS, INC.
Entity type:Organization
Organization Name:HARTFORD ORTHOPAEDIC PLASTIC & HAND SURGEONS, INC.
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PROGRAM MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:PERRRY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:860-527-7161
Mailing Address - Street 1:622 HEBRON AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:GLASTONBURY
Mailing Address - State:CT
Mailing Address - Zip Code:06033-2421
Mailing Address - Country:US
Mailing Address - Phone:860-527-7161
Mailing Address - Fax:860-652-8410
Practice Address - Street 1:195 EASTERN BLVD STE 200
Practice Address - Street 2:
Practice Address - City:GLASTONBURY
Practice Address - State:CT
Practice Address - Zip Code:06033-4353
Practice Address - Country:US
Practice Address - Phone:860-527-7161
Practice Address - Fax:860-652-8410
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-22
Last Update Date:2025-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHandGroup - Single Specialty
No2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHandGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CTC08447018Medicare PIN
CT0535350001Medicare NSC