Matthew Petrovich, DPT
Physical Therapist in Brookfield, Connecticut
1619516226- Practice location
- 3 Federal RD Ste 100, Brookfield, CT 06804-2505
- Phone
- 203-456-1010
- Fax
- 203-456-1011
- Last updated
- September 13, 2023
Matthew Petrovich is a Physical Therapist based in Brookfield, CT. Matthew Petrovich practices in Brookfield, CT and has the professional credentials of DPT. The NPI Number for Matthew Petrovich is 1619516226 and holds a License No. 14185 (CT). The current practice location address for Matthew Petrovich is 3 Federal RD Ste 100, Brookfield, CT 06804-2505 and can be reached out via phone at 203-456-1010 and via fax at 203-456-1011.
Provider Profile Details
- NPI Number
- 1619516226
- Provider Name
- Matthew Petrovich
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 3 Federal RD Ste 100, Brookfield, CT 06804-2505
- Phone Number
- 203-456-1010
- Fax Number
- 203-456-1011
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 30, 2019
- Last Update Date
- September 13, 2023
- Certification Date
- September 13, 2023
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 3 Federal RD Ste 100
Brookfield, CT 06804-2505 - City
- Brookfield
- State
- Connecticut
- Zip
- 06804-2505
- Phone Number
- 203-456-1010
- Fax Number
- 203-456-1011
Provider Business Mailing Address Details
- Address
- Po Box 77
Chittenango, NY 13037-0077 - City
- Chittenango
- State
- NY
- Zip
- 13037-0077
- Phone Number
- 315-510-3372
License Information
- License Number (1)
- 14185
- License State (1)
- CT
- Taxonomy (1)
- Physical Therapist · 225100000X
- License Number (2)
- 045034-01
- License State (2)
- NY
- Taxonomy (2)
- 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 Matthew Petrovich, DPT?
The NPI number of Matthew Petrovich, DPT is 1619516226. It was assigned on December 30, 2019 and is currently active in the NPPES registry.
What is the specialty of Matthew Petrovich, DPT?
Matthew Petrovich, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 14185.
Where does Matthew Petrovich, DPT practice?
The practice location is 3 Federal RD Ste 100, Brookfield, CT 06804-2505. The office can be reached at 203-456-1010 (phone) or 203-456-1011 (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 1619516226 directly on the NPPES registry website.