Active NPIIndividual provider

Gretchen Pettinico, PT

Physical Therapist, Pediatrics in Waterbury, Connecticut

NPI Number1063602712
Practice location
1389 W Main St Ste 225, Waterbury, CT 06708-3115
Fax
203-757-1474
Last updated
July 30, 2007

Gretchen Pettinico is a Physical Therapist, Pediatrics based in Waterbury, CT. Gretchen Pettinico practices in Waterbury, CT and has the professional credentials of PT. The NPI Number for Gretchen Pettinico is 1063602712 and holds a License No. 6403 (CT). The current practice location address for Gretchen Pettinico is 1389 W Main St Ste 225, Waterbury, CT 06708-3115 and can be reached out via phone at 203-757-1474 and via fax at 203-757-1474.

Provider Profile Details

NPI Number
1063602712
Provider Name
Gretchen Pettinico
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
1389 W Main St Ste 225, Waterbury, CT 06708-3115
Phone Number
203-757-1474
Fax Number
203-757-1474
Primary Taxonomy
Physical Therapist, Pediatrics · 2251P0200X
Sole Proprietor
No
Provider Enumeration Date
July 30, 2007
Last Update Date
July 30, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
1389 W Main St Ste 225
Waterbury, CT 06708-3115
Zip
06708-3115
Phone Number
203-757-1474
Fax Number
203-757-1474
Waterbury, CT 06708Get directions →

Provider Business Mailing Address Details

Address
1389 W Main St Ste 225
Waterbury, CT 06708-3115
City
Waterbury
State
CT
Zip
06708-3115
Phone Number
203-757-1474
Fax Number
203-757-1474

License Information

License Number
6403
License State
CT
Taxonomy
Physical Therapist, Pediatrics · 2251P0200X · 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 Gretchen Pettinico, PT?

The NPI number of Gretchen Pettinico, PT is 1063602712. It was assigned on July 30, 2007 and is currently active in the NPPES registry.

What is the specialty of Gretchen Pettinico, PT?

Gretchen Pettinico, PT is registered under the primary taxonomy Physical Therapist, Pediatrics (code 2251P0200X), licensed in CT under license number 6403.

Where does Gretchen Pettinico, PT practice?

The practice location is 1389 W Main St Ste 225, Waterbury, CT 06708-3115. The office can be reached at 203-757-1474 (phone) or 203-757-1474 (fax).

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 1063602712 directly on the NPPES registry website.

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