Active NPIIndividual provider

Cherisse A Kozloski, PTA

Physical Therapy Assistant in Southington, Connecticut

NPI Number1083860621
Practice location
59 Eden Ave, Southington, CT 06489-4512
Fax
860-426-1414
Last updated
August 14, 2008

Cherisse A Kozloski is a Physical Therapy Assistant based in Southington, CT. Cherisse A Kozloski practices in Southington, CT and has the professional credentials of PTA. The NPI Number for Cherisse A Kozloski is 1083860621 and holds a License No. 000971 (CT). The current practice location address for Cherisse A Kozloski is 59 Eden Ave, Southington, CT 06489-4512 and can be reached out via phone at 203-592-2160 and via fax at 860-426-1414.

Provider Profile Details

NPI Number
1083860621
Provider Name
Cherisse A Kozloski
Credential
PTA
Provider Entity Type
Individual
Gender
Female
Address
59 Eden Ave, Southington, CT 06489-4512
Phone Number
203-592-2160
Fax Number
860-426-1414
Primary Taxonomy
Physical Therapy Assistant · 225200000X
Sole Proprietor
No
Provider Enumeration Date
August 14, 2008
Last Update Date
August 14, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
59 Eden Ave
Southington, CT 06489-4512
Zip
06489-4512
Phone Number
203-592-2160
Fax Number
860-426-1414
Southington, CT 06489Get directions →

Provider Business Mailing Address Details

Address
59 Eden Ave
Southington, CT 06489-4512
City
Southington
State
CT
Zip
06489-4512
Phone Number
203-592-2160
Fax Number
860-426-1414

License Information

License Number
000971
License State
CT
Taxonomy
Physical Therapy Assistant · 225200000X · 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 Cherisse A Kozloski, PTA?

The NPI number of Cherisse A Kozloski, PTA is 1083860621. It was assigned on August 14, 2008 and is currently active in the NPPES registry.

What is the specialty of Cherisse A Kozloski, PTA?

Cherisse A Kozloski, PTA is registered under the primary taxonomy Physical Therapy Assistant (code 225200000X), licensed in CT under license number 000971.

Where does Cherisse A Kozloski, PTA practice?

The practice location is 59 Eden Ave, Southington, CT 06489-4512. The office can be reached at 203-592-2160 (phone) or 860-426-1414 (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 1083860621 directly on the NPPES registry website.

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