Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Newtown Sports Podiatry

Organization Sports Medicine Podiatrist · NPI 1942218763

Newtown Sports Podiatry is a Sports Medicine Podiatrist 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
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