| Mr Filip Nikolic, DPT | |
|
655 Main St S, Southbury, CT 06488-4220 | |
| (877) 407-3422 | |
| (877) 407-4329 |
| Full Name | Mr Filip Nikolic |
|---|---|
| Gender | Male |
| Speciality | Physical Medicine & Rehabilitation |
| Location | 655 Main St S, Southbury, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629587415 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208100000X | Physical Medicine & Rehabilitation | 10248 (Connecticut) | Primary |
| Entity Name | Fox Rehab Pt Ct, Llc |
|---|---|
| Entity Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Entity Identifiers | NPI Number: 1245584234 PECOS PAC ID: 8820235575 Enrollment ID: O20130516000426 |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Filip Nikolic, DPT 1 Emily Way, West Hartford, CT 06107-3136 Ph: () - | Mr Filip Nikolic, DPT 655 Main St S, Southbury, CT 06488-4220 Ph: (877) 407-3422 |
Kristian Karl Cruz, Physical Medicine & Rehabilitation Medicare: Accepting Medicare Assignments Practice Location: 655 Main St S, Southbury, CT 06488 Phone: 877-407-3422 | |
Harrison Ranscht, Physical Medicine & Rehabilitation Medicare: Medicare Enrolled Practice Location: 655 Main St S, Southbury, CT 06488 Phone: 877-407-3422 Fax: 877-407-4329 | |
Alison Gaffney, PT Physical Medicine & Rehabilitation Medicare: Not Enrolled in Medicare Practice Location: 655 Main St S, Southbury, CT 06488 Phone: 203-123-4567 |