| Neal Shah, DPT | |
|
397 Bridgeport Ave, Milford, CT 06460-4151 | |
| (203) 877-0112 | |
| Not Available |
| Full Name | Neal Shah |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 397 Bridgeport Ave, Milford, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104248350 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 009978 (Connecticut) | Secondary |
| 225100000X | Physical Therapist | 40QA01655200 (New Jersey) | Primary |
| Provider Name | Joseph Licitra |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1891795514 PECOS PAC ID: 6204800279 Enrollment ID: I20040825000034 |
| Provider Name | Scordilis Family Chiropractic Pa |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1386704559 PECOS PAC ID: 9830103555 Enrollment ID: O20060202000317 |
| Provider Name | Joseph Licitra Dc, Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1902520109 PECOS PAC ID: 3779952056 Enrollment ID: O20221208000541 |
| Mailing Address | Practice Location Address |
|---|---|
| Neal Shah, DPT 6 Mae Ln, Wallingford, CT 06492-6061 Ph: (973) 634-3966 | Neal Shah, DPT 397 Bridgeport Ave, Milford, CT 06460-4151 Ph: (203) 877-0112 |
Mr. Douglas Scott Macdonald Jr., MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 195 Platt St, Milford, CT 06460 Phone: 203-878-5958 | |
Jessica Garza-rice, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Seaside Ave, Milford, CT 06460 Phone: 203-301-6262 | |
Ms. Patricia Mahoney, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 318 New Haven Ave, Suite B, Milford, CT 06460 Phone: 203-874-0500 | |
Mary Marra, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 300 Seaside Ave, Milford, CT 06460 Phone: 203-301-6262 | |
Helena Jurkiewicz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 680 Boston Post Rd, Milford, CT 06460 Phone: 203-783-1997 | |
Nathan Collette, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 258 Broad St, Milford, CT 06460 Phone: 203-882-5632 Fax: 203-882-7200 | |
Robin Copperthwaite, Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 258 Broad St, Milford, CT 06460 Phone: 203-882-5632 Fax: 203-882-7200 |