Kelly N Evanovich, PT, DPT, ATC
Physical Therapist, Orthopedic in Wallingford, Connecticut
1114274313- Practice location
- 900 Northrop RD, Wallingford, CT 06492-1997
- Phone
- 203-949-1534
- Fax
- —
- Last updated
- August 7, 2012
Kelly Nicole Evanovich is a Physical Therapist, Orthopedic based in Wallingford, CT. Kelly Nicole Evanovich practices in Wallingford, CT and has the professional credentials of PT, DPT, ATC. The NPI Number for Kelly Nicole Evanovich is 1114274313 and holds a License No. 14.009513 (CT). The current practice location address for Kelly Nicole Evanovich is 900 Northrop RD, Wallingford, CT 06492-1997 and can be reached out via phone at 203-949-1534.
Provider Profile Details
- NPI Number
- 1114274313
- Provider Name
- Kelly Nicole Evanovich
- Credential
- PT, DPT, ATC
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 900 Northrop RD, Wallingford, CT 06492-1997
- Phone Number
- 203-949-1534
- Primary Taxonomy
- Physical Therapist, Orthopedic · 2251X0800X
- Sole Proprietor
- No
- Provider Enumeration Date
- August 7, 2012
- Last Update Date
- August 7, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 900 Northrop RD
Wallingford, CT 06492-1997 - City
- Wallingford
- State
- Connecticut
- Zip
- 06492-1997
- Phone Number
- 203-949-1534
Provider Business Mailing Address Details
- Address
- 64 Groveland Ter
Newington, CT 06111-1614 - City
- Newington
- State
- CT
- Zip
- 06111-1614
- Phone Number
- 860-798-0147
License Information
- License Number
- 14.009513
- License State
- CT
- Taxonomy
- Physical Therapist, Orthopedic · 2251X0800X · 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 Kelly N Evanovich, PT, DPT, ATC?
The NPI number of Kelly N Evanovich, PT, DPT, ATC is 1114274313. It was assigned on August 7, 2012 and is currently active in the NPPES registry.
What is the specialty of Kelly N Evanovich, PT, DPT, ATC?
Kelly N Evanovich, PT, DPT, ATC is registered under the primary taxonomy Physical Therapist, Orthopedic (code 2251X0800X), licensed in CT under license number 14.009513.
Where does Kelly N Evanovich, PT, DPT, ATC practice?
The practice location is 900 Northrop RD, Wallingford, CT 06492-1997. The office can be reached at 203-949-1534 (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 1114274313 directly on the NPPES registry website.