Active NPIIndividual providerSole proprietor

Michele M Dery

Physical Therapist in South Windsor, Connecticut

NPI Number1033436258
Practice location
1715 Ellington RD, South Windsor, CT 06074-2707
Fax
—
Last updated
April 27, 2010

Michele M Dery is a Physical Therapist based in South Windsor, CT. Michele M Dery practices in South Windsor, CT. The NPI Number for Michele M Dery is 1033436258 and holds a License No. 004609 (CT). The current practice location address for Michele M Dery is 1715 Ellington RD, South Windsor, CT 06074-2707 and can be reached out via phone at 860-432-9555.

Provider Profile Details

NPI Number
1033436258
Provider Name
Michele M Dery
Provider Entity Type
Individual
Gender
Female
Address
1715 Ellington RD, South Windsor, CT 06074-2707
Phone Number
860-432-9555
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
Yes
Provider Enumeration Date
April 27, 2010
Last Update Date
April 27, 2010
NPI Status
Active

Provider Business Practice Location Address Details

Address
1715 Ellington RD
South Windsor, CT 06074-2707
Zip
06074-2707
Phone Number
860-432-9555
South Windsor, CT 06074Get directions →

Provider Business Mailing Address Details

Address
1715 Ellington RD
South Windsor, CT 06074-2707
City
South Windsor
State
CT
Zip
06074-2707

License Information

License Number
004609
License State
CT
Taxonomy
Physical Therapist · 225100000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Michele M Dery?

The NPI number of Michele M Dery is 1033436258. It was assigned on April 27, 2010 and is currently active in the NPPES registry.

What is the specialty of Michele M Dery?

Michele M Dery is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 004609.

Where does Michele M Dery practice?

The practice location is 1715 Ellington RD, South Windsor, CT 06074-2707. The office can be reached at 860-432-9555 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033436258 directly on the NPPES registry website.

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