| Evan Kennedy, PT | |
|
510 Cottage Grove Rd, Bloomfield, CT 06002-3165 | |
| (860) 769-6690 | |
| Not Available |
| Full Name | Evan Kennedy |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 510 Cottage Grove Rd, Bloomfield, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366989279 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 011060 (Connecticut) | Primary |
| Provider Name | Ptsma Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1033773759 PECOS PAC ID: 7911800180 Enrollment ID: O20190712000494 |
| Mailing Address | Practice Location Address |
|---|---|
| Evan Kennedy, PT 510 Cottage Grove Rd, Bloomfield, CT 06002-3165 Ph: () - | Evan Kennedy, PT 510 Cottage Grove Rd, Bloomfield, CT 06002-3165 Ph: (860) 769-6690 |
Mr. John Joseph Alegi Jr., P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Cottage Grove Rd, Bloomfield, CT 06002 Phone: 860-243-6571 Fax: 860-243-6579 | |
Diane Kleska, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 800 Cottage Grove Rd, Bloomfield, CT 06002 Phone: 860-243-6571 Fax: 860-243-6579 | |
Kristin Godiksen, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 34 Jerome Ave, Bloomfield, CT 06002 Phone: 860-519-1916 | |
Jane House, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 Cottage Grove Rd, Suite E130, Bloomfield, CT 06002 Phone: 860-286-0838 | |
Sage Rehab, Inc Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 701 Cottage Grove Rd, Suite E130, Bloomfield, CT 06002 Phone: 860-286-0838 Fax: 860-286-0109 | |
Mrs. Jennifer Ann Fournier, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 510 Cottage Grove Rd, Bloomfield, CT 06002 Phone: 860-769-6690 Fax: 860-769-6694 | |
Joan Marie Karpuk, P.T. Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 693 Bloomfield Ave Ste 201, Bloomfield, CT 06002 Phone: 860-242-8422 Fax: 860-242-4147 |