| Jason Proud, PT | |
|
80 Norwich New London Tpke # 2e, Uncasville, CT 06382-2527 | |
| (860) 892-8683 | |
| Not Available |
| Full Name | Jason Proud |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 80 Norwich New London Tpke # 2e, Uncasville, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558195917 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 052939 (New York) | Secondary |
| 225100000X | Physical Therapist | 014595 (Connecticut) | Primary |
| Provider Name | Kitsap Physical Therapy And Sports Clinic Ps Inc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1912902347 PECOS PAC ID: 6507762333 Enrollment ID: O20031211000242 |
| Mailing Address | Practice Location Address |
|---|---|
| Jason Proud, PT 135 Lakeshore Rd, Oswego, NY 13126-6093 Ph: (315) 529-9315 | Jason Proud, PT 80 Norwich New London Tpke # 2e, Uncasville, CT 06382-2527 Ph: (860) 892-8683 |
David M Crowley, MSPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 137 Gay Hill Rd, Uncasville, CT 06382 Phone: 860-319-7351 | |
Natalie Marble, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5 Richard Brown Dr, Uncasville, CT 06382 Phone: 860-848-8466 | |
Mrs. Jennifer Tuohy, P.T. Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 88 Norwich New London Tpke, Suite 1, Uncasville, CT 06382 Phone: 860-848-9157 Fax: 860-848-3471 | |
Deborah Gallacher, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 5 Richard Brown Dr, Uncasville, CT 06382 Phone: 860-848-8466 | |
Carissa Jalen Finney, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 80 Norwich New London Tpke, Uncasville, CT 06382 Phone: 860-892-8683 | |
Mrs. Debra Scirpo, RPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 303 Norwich New London Tpke, Uncasville, CT 06382 Phone: 860-848-9157 Fax: 860-848-3471 |