Active NPIIndividual provider

Dr. Jenna M Atlas, DPT, PT

Physical Therapist in Canton, Connecticut

NPI Number1710877865
Practice location
141 Dowd Ave, Canton, CT 06019-2401
Fax
860-422-4983
Last updated
July 8, 2025

Jenna Mimi Atlas is a Physical Therapist based in Canton, CT. Jenna Mimi Atlas practices in Canton, CT and has the professional credentials of DPT, PT. The NPI Number for Jenna Mimi Atlas is 1710877865 and holds a License No. 014564 (CT). The current practice location address for Jenna Mimi Atlas is 141 Dowd Ave, Canton, CT 06019-2401 and can be reached out via phone at 860-245-1049 and via fax at 860-422-4983.

Provider Profile Details

NPI Number
1710877865
Provider Name
Jenna Mimi Atlas
Credential
DPT, PT
Provider Entity Type
Individual
Gender
Female
Address
141 Dowd Ave, Canton, CT 06019-2401
Phone Number
860-245-1049
Fax Number
860-422-4983
Primary Taxonomy
Physical Therapist · 225100000X
Sole Proprietor
No
Provider Enumeration Date
July 8, 2025
Last Update Date
July 8, 2025
Certification Date
July 8, 2025
NPI Status
Active

Provider Business Practice Location Address Details

Address
141 Dowd Ave
Canton, CT 06019-2401
City
Canton
Zip
06019-2401
Phone Number
860-245-1049
Fax Number
860-422-4983
Canton, CT 06019Get directions →

Provider Business Mailing Address Details

Address
141 Dowd Ave
Canton, CT 06019-2401
City
Canton
State
CT
Zip
06019-2401
Phone Number
860-245-1049
Fax Number
860-422-4983

License Information

License Number
014564
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 Dr. Jenna M Atlas, DPT, PT?

The NPI number of Dr. Jenna M Atlas, DPT, PT is 1710877865. It was assigned on July 8, 2025 and is currently active in the NPPES registry.

What is the specialty of Dr. Jenna M Atlas, DPT, PT?

Dr. Jenna M Atlas, DPT, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 014564.

Where does Dr. Jenna M Atlas, DPT, PT practice?

The practice location is 141 Dowd Ave, Canton, CT 06019-2401. The office can be reached at 860-245-1049 (phone) or 860-422-4983 (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 1710877865 directly on the NPPES registry website.

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