| Nicholas Lopez, DPT | |
|
43 Main St, New Milford, CT 06776-2863 | |
| (860) 946-0710 | |
| (860) 946-0711 |
| Full Name | Nicholas Lopez |
|---|---|
| Gender | Male |
| Speciality | Physical Therapist |
| Location | 43 Main St, New Milford, Connecticut |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811792351 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 225100000X | Physical Therapist | 14780 (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 |
|---|---|
| Nicholas Lopez, DPT 47 N Main St, West Hartford, CT 06107-1926 Ph: (860) 409-4595 | Nicholas Lopez, DPT 43 Main St, New Milford, CT 06776-2863 Ph: (860) 946-0710 |
Ms. Gail Theresa Henderson, MS,ATC,PT,CCRP Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 350 Litchfield Rd, New Milford, CT 06776 Phone: 860-350-5579 Fax: 860-355-0495 | |
Maryellen Sciaretto, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21 Elm St, Attn: Outpatient Physical Therapy Dept., New Milford, CT 06776 Phone: 860-350-7290 Fax: 860-350-7226 | |
Erin J Gardner-metz, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 21 Elm St, Attn: Outpatient Physical Therapy Department, New Milford, CT 06776 Phone: 860-350-7290 Fax: 860-350-7226 | |
Colleen Petridis, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 43 Main St Unit H, New Milford, CT 06776 Phone: 860-946-0710 Fax: 860-946-0711 | |
Antonio Reale, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 131 Kent Rd, New Milford, CT 06776 Phone: 860-350-3330 | |
Marc Anthony Feda, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 131 Kent Rd, New Milford, CT 06776 Phone: 860-350-3330 | |
Chandra Rogers, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 30 Park Ln E, New Milford, CT 06776 Phone: 860-355-0971 |