Provider Demographics
NPI:1730285297
Name:RIZZO, JON J (PT, ATC)
Entity type:Individual
Prefix:MR
First Name:JON
Middle Name:J
Last Name:RIZZO
Suffix:
Gender:M
Credentials:PT, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:NAYDEN REHAB CLINIC
Mailing Address - Street 2:843 BOLTON ROAD
Mailing Address - City:STORRS
Mailing Address - State:CT
Mailing Address - Zip Code:06269-9020
Mailing Address - Country:US
Mailing Address - Phone:860-486-8080
Mailing Address - Fax:860-486-8081
Practice Address - Street 1:NAYDEN REHAB CLINIC
Practice Address - Street 2:843 BOLTON ROAD
Practice Address - City:STORRS
Practice Address - State:CT
Practice Address - Zip Code:06269-9020
Practice Address - Country:US
Practice Address - Phone:860-486-8080
Practice Address - Fax:860-486-8081
Is Sole Proprietor?:No
Enumeration Date:2006-09-15
Last Update Date:2015-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT007137225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist