Active NPIIndividual provider

Nicole Ellrod, PT

Physical Therapist in Granby, Connecticut

NPI Number1043305436
Practice location
97 Salmon Brook St, Granby, CT 06035
Fax
—
Last updated
July 8, 2007

Nicole Ellrod is a Physical Therapist based in Granby, CT. Nicole Ellrod practices in Granby, CT and has the professional credentials of PT. The NPI Number for Nicole Ellrod is 1043305436 and holds a License No. 007745 (CT). The current practice location address for Nicole Ellrod is 97 Salmon Brook St, Granby, CT 06035 and can be reached out via phone at 860-844-8912.

Provider Profile Details

NPI Number
1043305436
Provider Name
Nicole Ellrod
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
97 Salmon Brook St, Granby, CT 06035
Phone Number
860-844-8912
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
October 3, 2006
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
97 Salmon Brook St
Granby, CT 06035
City
Granby
Zip
06035
Phone Number
860-844-8912
Granby, CT 06035Get directions →

Provider Business Mailing Address Details

Address
97 Salmon Brook St
Granby, CT 06035
City
Granby
State
CT
Zip
06035
Phone Number
860-844-8912

License Information

License Number
007745
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 Nicole Ellrod, PT?

The NPI number of Nicole Ellrod, PT is 1043305436. It was assigned on October 3, 2006 and is currently active in the NPPES registry.

What is the specialty of Nicole Ellrod, PT?

Nicole Ellrod, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 007745.

Where does Nicole Ellrod, PT practice?

The practice location is 97 Salmon Brook St, Granby, CT 06035. The office can be reached at 860-844-8912 (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 1043305436 directly on the NPPES registry website.

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