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

Physical Therapy of Mystic, LLC

Organization Physical Therapist · NPI 1245592617

Physical Therapy of Mystic, LLC provides Physical Therapist services in Groton, Connecticut. Licensed in Connecticut. Registered with an NPI since 2012.

Licensed in
CT
In the registry since
2012
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

481 Gold Star Hwy Ste 201
Groton, CT 06340-6702 Not confirmed with CMS for 14 years — call before visiting
Phone: (860) 445-9433
Fax: (860) 445-8802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 003770 (CT)

Record details

NPI number1245592617
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ron Agostini — Owner · (860) 445-9433
NPI enumeratedJune 12, 2012
Last updated in NPPESJune 12, 2012
Mailing address481 Gold Star Hwy, Suite 201, Groton, CT 06340-6702

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