Active NPIIndividual provider

Mrs. Tirzah G Antoine, PT

Physical Therapist in Wallingford, Connecticut

NPI Number1508299496
Practice location
85 Barnes RD, Suite 109, Wallingford, CT 06492-1832
Fax
203-284-0492
Last updated
April 6, 2016

Tirzah Grace Antoine is a Physical Therapist based in Wallingford, CT. Tirzah Grace Antoine practices in Wallingford, CT and has the professional credentials of PT. The NPI Number for Tirzah Grace Antoine is 1508299496 and holds a License No. 036636 (NY). The current practice location address for Tirzah Grace Antoine is 85 Barnes RD, Suite 109, Wallingford, CT 06492-1832 and can be reached out via phone at 203-697-1067 and via fax at 203-284-0492.

Provider Profile Details

NPI Number
1508299496
Provider Name
Tirzah Grace Antoine
Credential
PT
Provider Entity Type
Individual
Gender
Female
Address
85 Barnes RD, Suite 109, Wallingford, CT 06492-1832
Phone Number
203-697-1067
Fax Number
203-284-0492
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Other Names
-- Tirzah Grace Davis, PT (Former Name)
Provider Enumeration Date
August 14, 2013
Last Update Date
April 6, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
85 Barnes RD
Suite 109
Wallingford, CT 06492-1832
Zip
06492-1832
Phone Number
203-697-1067
Fax Number
203-284-0492
Wallingford, CT 06492Get directions →

Provider Business Mailing Address Details

Address
85 Barnes RD
Suite 109
Wallingford, CT 06492-1832
City
Wallingford
State
CT
Zip
06492-1832
Phone Number
203-697-1067
Fax Number
203-284-0492

License Information

License Number (1)
036636
License State (1)
NY
Taxonomy (1)
Physical Therapist · 225100000X
License Number (2)
10703
License State (2)
CT
Taxonomy (2)
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 Mrs. Tirzah G Antoine, PT?

The NPI number of Mrs. Tirzah G Antoine, PT is 1508299496. It was assigned on August 14, 2013 and is currently active in the NPPES registry.

What is the specialty of Mrs. Tirzah G Antoine, PT?

Mrs. Tirzah G Antoine, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in NY under license number 036636.

Where does Mrs. Tirzah G Antoine, PT practice?

The practice location is 85 Barnes RD, Suite 109, Wallingford, CT 06492-1832. The office can be reached at 203-697-1067 (phone) or 203-284-0492 (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 1508299496 directly on the NPPES registry website.

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