Shannon Nicholls, DPT - Physical Therapist in Waterbury, CT

Shannon Nicholls, DPT is a Physical Therapist based in Waterbury, Connecticut. Shannon Nicholls is licensed to practice in Connecticut (license number 13420) and her current practice location is 2150 E Main St, Waterbury, Connecticut. She can be reached at her office (for appointments etc.) via phone at (203) 598-0400.

NPI number for Shannon Nicholls is 1992459812 and her current mailing address is 22 Tompkins Street, Waterbury, Connecticut. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992459812.

Contact Information

Shannon Nicholls, DPT
2150 E Main St,
Waterbury, CT 06705-2608
(203) 598-0400
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameShannon Nicholls
GenderFemale
SpecialityPhysical Therapist
Location2150 E Main St, Waterbury, Connecticut
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1992459812
  • Provider Enumeration Date: 02/09/2022
  • Last Update Date: 02/09/2022

Medical Identifiers

Medical identifiers for Shannon Nicholls such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992459812NPI-NPPES
004190328MedicaidCT

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical Therapist 13420 (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. Shannon Nicholls 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 AddressPractice Location Address
Shannon Nicholls, DPT
22 Tompkins Street,
Waterbury, CT 06708-1458

Ph: () -
Shannon Nicholls, DPT
2150 E Main St,
Waterbury, CT 06705-2608

Ph: (203) 598-0400

Reviews and Comments


Physical Therapist in Waterbury, CT

Mrs. Therese Kepler,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 22 Tompkins St, Waterbury, CT 06708
Phone: 203-419-0381    Fax: 203-419-0389
Alyson Paliwoda, DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 117 Sharon Rd, Waterbury, CT 06705
Phone: 203-756-2334    
Miss Trisha Harris,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 22 Tompkins St, Waterbury, CT 06708
Phone: 203-419-0381    Fax: 203-419-0389
Mr. Nathan R Daigle,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 22 Tompkins St, Waterbury, CT 06708
Phone: 203-419-0381    Fax: 203-419-0389
Kelly Smith,
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 22 Tompkins St, Waterbury, CT 06708
Phone: 203-419-0381    Fax: 203-419-0389
Ms. Hilda S Ianigro-blinn, PT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 60 Westwood Ave, Suite 300, Waterbury, CT 06708
Phone: 203-597-1609    Fax: 203-597-1581
Jennifer Ruiz, DPT
Physical Therapist
Medicare: Medicare Enrolled
Practice Location: 22 Tompkins St, Waterbury, CT 06708
Phone: 203-419-0381    Fax: 203-419-0389

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.