Jeremy Gagnon
Physical Therapist in Wolcott, Connecticut
1326394610- Practice location
- 50 Beach RD, Wolcott, CT 06716-1902
- Phone
- 203-879-8066
- Fax
- 203-879-8484
- Last updated
- July 24, 2012
Jeremy Gagnon is a Physical Therapist based in Wolcott, CT. Jeremy Gagnon practices in Wolcott, CT. The NPI Number for Jeremy Gagnon is 1326394610 and holds a License No. 006374 (CT). The current practice location address for Jeremy Gagnon is 50 Beach RD, Wolcott, CT 06716-1902 and can be reached out via phone at 203-879-8066 and via fax at 203-879-8484.
Provider Profile Details
- NPI Number
- 1326394610
- Provider Name
- Jeremy Gagnon
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 50 Beach RD, Wolcott, CT 06716-1902
- Phone Number
- 203-879-8066
- Fax Number
- 203-879-8484
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- July 24, 2012
- Last Update Date
- July 24, 2012
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 50 Beach RD
Wolcott, CT 06716-1902 - City
- Wolcott
- State
- Connecticut
- Zip
- 06716-1902
- Phone Number
- 203-879-8066
- Fax Number
- 203-879-8484
Provider Business Mailing Address Details
- Address
- 50 Beach RD
Wolcott, CT 06716-1902 - City
- Wolcott
- State
- CT
- Zip
- 06716-1902
License Information
- License Number
- 006374
- 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 Jeremy Gagnon?
The NPI number of Jeremy Gagnon is 1326394610. It was assigned on July 24, 2012 and is currently active in the NPPES registry.
What is the specialty of Jeremy Gagnon?
Jeremy Gagnon is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 006374.
Where does Jeremy Gagnon practice?
The practice location is 50 Beach RD, Wolcott, CT 06716-1902. The office can be reached at 203-879-8066 (phone) or 203-879-8484 (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 1326394610 directly on the NPPES registry website.