Dr. Halid Dervisevic, DPT
Physical Therapist in Hartford, Connecticut
1104658814- Practice location
- 36 Woodland St, Hartford, CT 06105-2325
- Phone
- 860-522-2717
- Fax
- 860-240-7605
- Last updated
- August 20, 2024
Halid Dervisevic is a Physical Therapist based in Hartford, CT. Halid Dervisevic practices in Hartford, CT and has the professional credentials of DPT. The NPI Number for Halid Dervisevic is 1104658814 and holds a License No. 14613 (CT). The current practice location address for Halid Dervisevic is 36 Woodland St, Hartford, CT 06105-2325 and can be reached out via phone at 860-522-2717 and via fax at 860-240-7605.
Provider Profile Details
- NPI Number
- 1104658814
- Provider Name
- Halid Dervisevic
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 36 Woodland St, Hartford, CT 06105-2325
- Phone Number
- 860-522-2717
- Fax Number
- 860-240-7605
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 20, 2024
- Last Update Date
- August 20, 2024
- Certification Date
- August 20, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 36 Woodland St
Hartford, CT 06105-2325 - City
- Hartford
- State
- Connecticut
- Zip
- 06105-2325
- Phone Number
- 860-522-2717
- Fax Number
- 860-240-7605
Provider Business Mailing Address Details
- Address
- 77 Goodrich St
Hartford, CT 06114-2613 - City
- Hartford
- State
- CT
- Zip
- 06114-2613
- Phone Number
- 717-422-6171
License Information
- License Number
- 14613
- License State
- CT
- Taxonomy
- Physical Therapist · 225100000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 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 Dr. Halid Dervisevic, DPT?
The NPI number of Dr. Halid Dervisevic, DPT is 1104658814. It was assigned on August 20, 2024 and is currently active in the NPPES registry.
What is the specialty of Dr. Halid Dervisevic, DPT?
Dr. Halid Dervisevic, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 14613.
Where does Dr. Halid Dervisevic, DPT practice?
The practice location is 36 Woodland St, Hartford, CT 06105-2325. The office can be reached at 860-522-2717 (phone) or 860-240-7605 (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 1104658814 directly on the NPPES registry website.