| Micaela Nowacki, DPT | |
|
39 Kennedy Dr, Putnam, CT 06260-1957 | |
| (860) 963-2174 | |
| Not Available |
| Full Name | Micaela Nowacki |
|---|---|
| Gender | Female |
| Speciality | Physical Therapist |
| Location | 39 Kennedy Dr, Putnam, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164150041 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 13661 (Connecticut) | Primary |
| Provider Name | Anb-ptsma Holdings Inc |
|---|---|
| Provider Type | Part B Supplier - Physical/occupational Therapy Group In Private Practice |
| Provider Identifiers | NPI Number: 1659453371 PECOS PAC ID: 4789572926 Enrollment ID: O20100928000128 |
| Mailing Address | Practice Location Address |
|---|---|
| Micaela Nowacki, DPT 47 N Main St, West Hartford, CT 06107-1926 Ph: (860) 409-4595 | Micaela Nowacki, DPT 39 Kennedy Dr, Putnam, CT 06260-1957 Ph: (860) 963-2174 |
Kyleen O Sidwell, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 39 Kennedy Dr, Putnam, CT 06260 Phone: 860-963-2174 Fax: 860-963-2178 | |
Mr. Matthew J Dumas, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 39 Kennedy Dr, Putnam, CT 06260 Phone: 860-963-2174 Fax: 860-963-2178 | |
Mr. Thomas F Harney, PT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 39 Kennedy Dr, Putnam, CT 06260 Phone: 860-963-2174 Fax: 860-963-2178 | |
Donna Marie Duffy, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 72 Church St, Putnam, CT 06260 Phone: 860-928-0891 | |
Orthopedic Associates Of Windham County Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 39 Kennedy Dr, Putnam, CT 06260 Phone: 860-963-2133 Fax: 860-963-8955 | |
Roman Taras Slevinsky, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 25 Quinebaug Ave, Putnam, CT 06260 Phone: 860-928-3533 Fax: 860-928-3533 |