Eclectic Physical Therapy LLC
Eclectic Physical Therapy LLC is a healthcare organization registered as Clinic/Center in Bridgeport, CT, holding Type 2 (organization) NPI 1730421397 since 2013. The authorized official on file is Jennifer Iannucci, Physical Therapist, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1730421397 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Eclectic Physical Therapy LLC |
| Practice address | 2889 FAIRFIELD AVE, Bridgeport, CT, 06605 |
| Phone | 2039136978 |
| Enumeration date | 2013-03-21 |
| Last updated in NPPES | 2014-05-16 |
Authorized official
| Name | Jennifer Iannucci |
|---|---|
| Title | Physical Therapist, Owner |
| Phone | 2039136978 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | Primary | 005735 | CT |
Copy-ready billing details
Provider: Eclectic Physical Therapy LLC NPI: 1730421397 Taxonomy: 261Q00000X (Clinic/Center) Address: 2889 FAIRFIELD AVE, Bridgeport, CT, 06605
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1184696916 | Tara Collins | Individual | Orthopedic Physical Therapist | Bridgeport, CT |
| 1063650901 | Black Rock Physical Therapy | Organization | Physical Therapy Clinic/Center | Bridgeport, CT |
| 1134406382 | Justin Shay | Individual | Specialist | Bridgeport, CT |
Verify this record
Cross-check NPI 1730421397 against the authoritative CMS record: view Eclectic Physical Therapy LLC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What type of organization is Eclectic Physical Therapy LLC?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2014-05-16.