Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Newtown Sports Podiatry

Organization Sports Medicine Podiatrist · NPI 1942218763

Newtown Sports Podiatry provides Sports Medicine Podiatrist services in Newtown, Connecticut. Licensed in Connecticut. Registered with an NPI since 2006.

Licensed in
CT
In the registry since
2006

Practice location Address checks out

54 S Main St
Newtown, CT 06470-2358 Not confirmed with CMS for 16 years — call before visiting
Phone: (203) 426-7060
Fax: (203) 270-0420
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Sports Medicine Podiatrist (primary) Taxonomy 213ES0000X · Licence 000556 (CT)

Record details

NPI number1942218763
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brian Fullem — Owner · (203) 426-7060
NPI enumeratedAugust 4, 2006
Last updated in NPPESMarch 9, 2010
Mailing address54 S Main St, Newtown, CT 06470-2358