Mary Sue Agostini, PT
Physical Therapist in Pawcatuck, Connecticut
1790746295- Practice location
- 158 South Broad Street, Dynamic Physical Therapy LLC, Pawcatuck, CT 06379
- Phone
- 860-599-0819
- Fax
- 860-599-0871
- Last updated
- July 13, 2026
Mary Sue Agostini is a Physical Therapist based in Pawcatuck, CT. Mary Sue Agostini practices in Pawcatuck, CT and has the professional credentials of PT. The NPI Number for Mary Sue Agostini is 1790746295 and holds a License No. 004064 (CT). The current practice location address for Mary Sue Agostini is 158 South Broad Street, Dynamic Physical Therapy LLC, Pawcatuck, CT 06379 and can be reached out via phone at 860-599-0819 and via fax at 860-599-0871.
Provider Profile Details
- NPI Number
- 1790746295
- Provider Name
- Mary Sue Agostini
- Credential
- PT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 158 South Broad Street, Dynamic Physical Therapy LLC, Pawcatuck, CT 06379
- Phone Number
- 860-599-0819
- Fax Number
- 860-599-0871
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- April 1, 2006
- Last Update Date
- July 13, 2026
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 158 South Broad Street
Dynamic Physical Therapy LLC
Pawcatuck, CT 06379 - City
- Pawcatuck
- State
- Connecticut
- Zip
- 06379
- Phone Number
- 860-599-0819
- Fax Number
- 860-599-0871
Provider Business Mailing Address Details
- Address
- 158 South Broad Street
Dynamic Physical Therapy LLC
Pawcatuck, CT 06379 - City
- Pawcatuck
- State
- CT
- Zip
- 06379
- Phone Number
- 860-599-0819
- Fax Number
- 860-599-0871
License Information
- License Number
- 004064
- 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 Mary Sue Agostini, PT?
The NPI number of Mary Sue Agostini, PT is 1790746295. It was assigned on April 1, 2006 and is currently active in the NPPES registry.
What is the specialty of Mary Sue Agostini, PT?
Mary Sue Agostini, PT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 004064.
Where does Mary Sue Agostini, PT practice?
The practice location is 158 South Broad Street, Dynamic Physical Therapy LLC, Pawcatuck, CT 06379. The office can be reached at 860-599-0819 (phone) or 860-599-0871 (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 1790746295 directly on the NPPES registry website.