Mrs Kathleen Hassen Stack, PT in North Branford, CT

Mrs Kathleen Hassen Stack, PT is a Physical Therapist based in North Branford, Connecticut. Mrs Kathleen Hassen Stack is licensed to practice in Connecticut (license number 005200) and her current practice location is 4 Glen Road, North Branford, Connecticut. She can be reached at her office (for appointments etc.) via phone at (203) 415-9072.

NPI number for Mrs Kathleen Hassen Stack is 1952522930 and her current mailing address is 4 Glen Road, North Branford, Connecticut. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1952522930.

Contact Information

	Mrs Kathleen Hassen Stack, PT
	4 Glen Road, North Branford, CT 06471-1263
	(203) 415-9072
	(203) 937-1064

Map and Direction

Healthcare Provider's Profile

Full Name	Mrs Kathleen Hassen Stack
Gender	Female
Speciality	Physical Therapist
Location	4 Glen Road, North Branford, Connecticut
Accepts Medicare Assignments	Does not participate in Medicare Program. She may not accept medicare assignment.

NPI Data:

NPI Number: 1952522930
Provider Enumeration Date: 05/01/2007
Last Update Date: 07/08/2007

Medical Identifiers

Medical identifiers for Mrs Kathleen Hassen Stack such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1952522930	NPI	-	NPPES
005200	Other	CT	PT LICENSE NUMBER
080005200CT01	Other	CT	ANTHEM PROVIDER NUMBER
11340795	Other	CT	CAQH PROVIDER ID

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	005200 (Connecticut)	Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mrs Kathleen Hassen Stack is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Mrs Kathleen Hassen Stack, PT 4 Glen Road, North Branford, CT 06471-1263 Ph: (203) 415-9072	Mrs Kathleen Hassen Stack, PT 4 Glen Road, North Branford, CT 06471-1263 Ph: (203) 415-9072

Reviews and Comments

Physical Therapist in North Branford, CT

Ms. Linda J Morrell, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 88 Notch Hill Rd, North Branford, CT 06471 Phone: 203-483-3203
Ms. Lenore Shapiro, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 635 Foxon Rd, North Branford, CT 06471 Phone: 203-484-5133 Fax: 203-484-5134

Mrs Kathleen Hassen Stack, PT - Physical Therapist in North Branford, CT