Active NPIIndividual provider

Jennifer L Wilson, PT

Physical Therapist in South Windsor, Connecticut

NPI Number1144232547
Practice location
1350 Sullivan Ave, South Windsor, CT 06074-2760
Fax
860-648-2876
Last updated
June 25, 2015

Jennifer Lynn Wilson is a Physical Therapist based in South Windsor, CT. Jennifer Lynn Wilson practices in South Windsor, CT and has the professional credentials of PT. The NPI Number for Jennifer Lynn Wilson is 1144232547 and holds a License No. 006894 (CT). The current practice location address for Jennifer Lynn Wilson is 1350 Sullivan Ave, South Windsor, CT 06074-2760 and can be reached out via phone at 860-697-6472 and via fax at 860-648-2876.

Provider Profile Details

NPI Number
1144232547
Provider Name
Jennifer Lynn Wilson
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
1350 Sullivan Ave, South Windsor, CT 06074-2760
Phone Number
860-697-6472
Fax Number
860-648-2876
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Other Names
-- Jennifer Pimentel (Former Name)
Provider Enumeration Date
August 13, 2006
Last Update Date
June 25, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
1350 Sullivan Ave
South Windsor, CT 06074-2760
Zip
06074-2760
Phone Number
860-697-6472
Fax Number
860-648-2876
South Windsor, CT 06074Get directions →

Provider Business Mailing Address Details

Address
73 Newton RD
Ste 101
Plaistow, NH 03865-2424
City
Plaistow
State
NH
Zip
03865-2424
Phone Number
978-388-7272
Fax Number
978-388-7373

License Information

License Number
006894
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 Jennifer L Wilson, PT?

The NPI number of Jennifer L Wilson, PT is 1144232547. It was assigned on August 13, 2006 and is currently active in the NPPES registry.

What is the specialty of Jennifer L Wilson, PT?

Jennifer L Wilson, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 006894.

Where does Jennifer L Wilson, PT practice?

The practice location is 1350 Sullivan Ave, South Windsor, CT 06074-2760. The office can be reached at 860-697-6472 (phone) or 860-648-2876 (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 1144232547 directly on the NPPES registry website.

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