Shannon Nicholls, DPT
Physical Therapist in Waterbury, Connecticut
1992459812- Practice location
- 2150 E Main St, Waterbury, CT 06705-2608
- Phone
- 203-598-0400
- Fax
- —
- Last updated
- February 9, 2022
Shannon Nicholls is a Physical Therapist based in Waterbury, CT. Shannon Nicholls practices in Waterbury, CT and has the professional credentials of DPT. The NPI Number for Shannon Nicholls is 1992459812 and holds a License No. 13420 (CT). The current practice location address for Shannon Nicholls is 2150 E Main St, Waterbury, CT 06705-2608 and can be reached out via phone at 203-598-0400.
Provider Profile Details
- NPI Number
- 1992459812
- Provider Name
- Shannon Nicholls
- Credential
- DPT
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 2150 E Main St, Waterbury, CT 06705-2608
- Phone Number
- 203-598-0400
- Primary Taxonomy
- Physical Therapist · 225100000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 9, 2022
- Last Update Date
- February 9, 2022
- Certification Date
- February 9, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 2150 E Main St
Waterbury, CT 06705-2608 - City
- Waterbury
- State
- Connecticut
- Zip
- 06705-2608
- Phone Number
- 203-598-0400
Provider Business Mailing Address Details
- Address
- 22 Tompkins Street
Waterbury, CT 06708-1458 - City
- Waterbury
- State
- CT
- Zip
- 06708-1458
License Information
- License Number
- 13420
- 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 Shannon Nicholls, DPT?
The NPI number of Shannon Nicholls, DPT is 1992459812. It was assigned on February 9, 2022 and is currently active in the NPPES registry.
What is the specialty of Shannon Nicholls, DPT?
Shannon Nicholls, DPT is registered under the primary taxonomy Physical Therapist (code 225100000X), licensed in CT under license number 13420.
Where does Shannon Nicholls, DPT practice?
The practice location is 2150 E Main St, Waterbury, CT 06705-2608. The office can be reached at 203-598-0400 (phone).
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 1992459812 directly on the NPPES registry website.