Eleonora S Kishelova, PT, DPT
Physical Therapist in Riverside, Connecticut
1225264971- Practice location
- 1171 E Putnam Ave, Building 2, Second Floor, Riverside, CT 06878-1426
- Phone
- 203-637-1700
- Fax
- 203-637-5447
- Last updated
- June 9, 2009
Eleonora S Kishelova is a Physical Therapist based in Riverside, CT. Eleonora S Kishelova practices in Riverside, CT and has the professional credentials of PT, DPT. The NPI Number for Eleonora S Kishelova is 1225264971 and holds a License No. 008544 (CT). The current practice location address for Eleonora S Kishelova is 1171 E Putnam Ave, Building 2, Second Floor, Riverside, CT 06878-1426 and can be reached out via phone at 203-637-1700 and via fax at 203-637-5447.
Provider Profile Details
- NPI Number
- 1225264971
- Provider Name
- Eleonora S Kishelova
- Credential
- PT, DPT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1171 E Putnam Ave, Building 2, Second Floor, Riverside, CT 06878-1426
- Phone Number
- 203-637-1700
- Fax Number
- 203-637-5447
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- June 9, 2009
- Last Update Date
- June 9, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1171 E Putnam Ave
Building 2, Second Floor
Riverside, CT 06878-1426 - City
- Riverside
- State
- Connecticut
- Zip
- 06878-1426
- Phone Number
- 203-637-1700
- Fax Number
- 203-637-5447
Provider Business Mailing Address Details
- Address
- 1171 E Putnam Ave
Building 2, Second Floor
Riverside, CT 06878-1426 - City
- Riverside
- State
- CT
- Zip
- 06878-1426
- Phone Number
- 203-637-1700
- Fax Number
- 203-637-5447
License Information
- License Number (1)
- 008544
- License State (1)
- CT
- Taxonomy (1)
- Physical Therapist · 225100000X · Primary
- License Number (2)
- 5501014394
- License State (2)
- MI
- Taxonomy (2)
- Physical Therapist · 225100000X
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 Eleonora S Kishelova, PT, DPT?
The NPI number of Eleonora S Kishelova, PT, DPT is 1225264971. It was assigned on June 9, 2009 and is currently active in the NPPES registry.
What is the specialty of Eleonora S Kishelova, PT, DPT?
Eleonora S Kishelova, PT, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 008544.
Where does Eleonora S Kishelova, PT, DPT practice?
The practice location is 1171 E Putnam Ave, Building 2, Second Floor, Riverside, CT 06878-1426. The office can be reached at 203-637-1700 (phone) or 203-637-5447 (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 1225264971 directly on the NPPES registry website.